Hematuria treat six items are paid attention to

Hematuria treat six items are paid attention to
Lanzhou head of the department of internal medicine of kidney trouble of general hospital of Military Area Command in Lanzhou Xi ChunSheng
Hematuria accounts for 40%~50% of kidney internal medicine department, urologic surgery clinic, it is the important signals of kidney trouble and internal medicine department and systematic disease of urology surgery. Kidney physician ignore getting painless the intersection of naked eye and hematuria neither, think on unusually nothing serious this time, because may omit some early urinary system tumours in this way; Can't overly value the result of hematuria either, may also bring danger to patient if excessively treat. The correct method is: Hematuria should be according to diagnosing the procedure, catch the detail, define the cause of disease, make a diagnosis and give treatment in norm. Should hold the following 6 points in the clinical work specifically:
1.Don't rely on urine try on the intersection of note and law, confirm, have hematuria, have a lot of factor can influence the intersection of note and testing result, may appear falsely and negatively.
2.Judge the source of hematuria ' The glomerulus source or it is not a glomerulus source) ,To further defining the concrete cause of disease of hematuria is essential. The urine erythrocyte shape of the phase contrast microscopy is checked and can be regarded as the important supplementary means.
3.As to the patient above middle age, painless (naked eye) Hematuria brief urinary system on malignant disease often, should competent kidney, ureter, the intersection of bladder and ultrasonic inspection, or intravenous renal pelvis radiography, CT, MR. Walk if necessary cystoscope and urethral mirror,etc. have, create, check.
4.Still can't define concrete patient of cause of disease, the intersection of kidney and to brief to routine inspection on kidney the intersection of blood vessel and the intersection of narrow, deformity,etc. and pathological change to have important value angiography.
5.Should inquire the history of taking medicine in detail, especially the blood platelet solves the use which gathers pharmaceuticals, anticoagulatory medicine. It is essential too to stop medicines and observe in a situation that adjust the dosage or the condition permits.
6.As to playing the patient of hematuria to weigh the advantage and disadvantages for the glomerulus source simple mirror clearly, avoid excessively treating.
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