血尿蛋白尿鑒別定稿(精品)-資料下載頁
2024-10-31 06:46本頁面
【正文】 共七十九頁。,Common causes of hematuria in children,Urinary tract infection. Diagnosed by symptoms of burning and frequency and a positive urine culture on a properly collected specimen Familial benign hematuria usually asymptomatic and may have minimal proteinuria. At times the hematuria may be gross. Hypercalcuria usually asymptomatic and may be microscopic or gross hematuria. Do a spot urine and measure the Ca/Creatinine ratio. Age related. 19 mo.6 years is 0.42(95%) Transient no etiology established. HSP hematuria may precede the rash,第七十二頁，共七十九頁。,Common Causes of Gross Hematuria,Local irritation or trauma to the perineal area Reanl trauma secondary to blunt abdominal trauma or accident UTIs,第七十三頁，共七十九頁。,如果(rguǒ)1,If the patient is asympotmatic and the physical exam is normal, and there is no family history of renal disease,recheck the urine in a few days. dipstick is still positive,check a spun urine for blood, casts, protein, wbc39。s，bacteria Obtain a urine for culture Check immediate family members for hematuria Ca++/Cr. on spot urine CBC , platelet count, and rbc morphology,第七十四頁，共七十九頁。,如果(rguǒ)2,if glomerular disease is not suspected Some authorities suggest a renal ultrasound to rule out structural disease and masses,第七十五頁，共七十九頁。,If increased blood pressure, edema, decreased urine output, casts proteinuria a total hemolytic complement and C3,如果(rguǒ)3：,第七十六頁，共七十九頁。,Glomerulonephritis associated with decreased C3 include,SLE do ANA Shunt nephritis Post streptococcus glomerulonephritis Membraoproliferative glomerulonephritis Glomerulonephritis associated with SBE,第七十七頁，共七十九頁。,如果(rguǒ)4,IF with persistent blood in the urine decreased real function proteinuria hypertension. with laboratory evidence of SLE.,Renal biopsy,第七十八頁，共七十九頁。,內(nèi)容(n232。ir243。ng)總結(jié),血尿、蛋白尿的診斷 和鑒別診斷。正常時(shí)：無色澄清淡黃色琥珀色。乳白色： 乳糜尿、膿細(xì)胞尿。滲透壓、PH值、代謝物質(zhì)(脂肪酸/溶血卵磷脂及膽酸〕)。4.鈣負(fù)荷實(shí)驗(yàn): 尿鈣4mg/kg.24h,尿鈣/肌酐0.21。腸系膜上動(dòng)脈壓迫左腎靜脈致左腎回流障礙，淤血(yūxu232。)。帶陽電荷的分子中陰電荷。Renal biopsy,第七十九頁，共七十九頁。,
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