2014年8月15日星期五

Hematuria kidney will "vary"

Under normal circumstances, there is no red blood cells in urine. Medical Admiral patient urine after centrifugation, then microscopic examination, if each high power field in three or more red blood cells, called hematuria. If only detect red blood cells under the microscope, called microscopic hematuria; If the eyes can be seen directly with bloody urine or was "wash the meat in water samples," called gross hematuria.
Hematuria is a signal of human diseases, such as urinary tract infection in young people, glomerular nephritis, prostatitis, urinary calculi in the elderly, bladder cancer, women's urinary tract infection, pyelonephritis, can cause hematuria. When people find hematuria, must be accountable to the doctor made ​​it clear symptoms, check with a doctor to confirm the diagnosis. Here are a few cases of misdiagnosis and make comments, in order to arouse people's attention.
A seemingly cold cases of acute pyelonephritis
A 48-year-old woman, a sudden high fever, night chills, body temperature 39 ℃. Emergency department doctor checked her blood and found significantly elevated white blood cell that is the cold-induced respiratory tract infection, immediately lose the antivirals and antibiotics. But the treatment three days, the temperature is still not refundable. Chuang, Professor at the history of the patient consultation questioning, the patient said that low back pain, and urinary urgency and bladder irritation, check urine red white 4 plus, diagnosed with acute pyelonephritis, after dressing treatment temperature drops quickly.
Comments: patients with acute pyelonephritis were as cold treatment in outpatient very common. This is due to the different treatment of both diseases, the disease can easily be delayed. Therefore, patients with fever, be sure to observe whether there own back pain, frequent urination, dysuria and other symptoms, do not forget to talk to the doctor. Be the best, if necessary, urine routine examination, which helps correct diagnosis. In addition, acute pyelonephritis need two to three weeks adequate antibiotic therapy, or easy to relapse, or turn into chronic.
Case 2 do not care about sports hematuria
A 24-year-old girl, "disco" and found blood in the urine, but in addition to the leg muscle soreness, no other symptoms. Bladder cancer have heard people say that younger and younger, she was very scared, asked to do cystoscopy and pyelography, test results are normal. But she still did not believe, went to the hospital to find a large well-known expert consultation, the results of the diagnosis of exercise-induced hematuria.
Comment: A professor says sports hematuria occurred after strenuous exercise, many athletes will happen. Modern medical point of view, this phenomenon is due to excessive shock kidney; or waist pressure, resulting in trauma; or strenuous exercise cause kidney vasoconstriction caused hematuria. In such cases do not panic, usually 1 to 2 weeks after hematuria will disappear automatically.

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