淺述成人血尿的首診診治思路

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【摘要】 血尿是臨床常見(jiàn)癥狀，尤其是無(wú)癥狀鏡下血尿，在全科門(mén)診或基層衛(wèi)生機(jī)構(gòu)首診中更為常見(jiàn)。本文通過(guò)復(fù)習(xí)相關(guān)文獻(xiàn)，總結(jié)歸納了成人血尿的病情特點(diǎn)和評(píng)估內(nèi)容，并指出病因治療是根本，對(duì)原因未明者，隨訪很重要。希望本文能夠?yàn)槭自\全科醫(yī)師處理成人血尿提供參考。

【關(guān)鍵詞】 血尿；無(wú)癥狀鏡下血尿；肉眼血尿；首診；規(guī)范化診治

【中圖分類(lèi)號(hào)】 R 696.8 【文獻(xiàn)標(biāo)識(shí)碼】 A DOI：10.12114/j.issn.1007-9572.2022.0286

秦紅莉，任菁菁. 淺述成人血尿的首診診治思路［J］. 中國(guó)全科醫(yī)學(xué)，2022，25（33）：4207-4210. ［www.chinagp.net］

QIN H L，REN J J. A brief talk on the first diagnosis and treatment of adult hematuria［J］. Chinese General Practice，2022，25（33）：4207-4210.

A Brief Talk on the First Diagnosis and Treatment of Adult Hematuria QIN Hongli，REN Jingjing*

Department of General Medicine，the First Affiliated Hospital，Zhejiang University，Hangzhou 310003，China

*Corresponding author：REN Jingjing，Chief physician，Doctoral supervisor；E-mail：[email protected]

【Abstract】 Hematuria is a common clinical symptom，especially asymptomaticmicrohematuria（AMH），which is more common in the first diagnosis in general practice clinics or primary health institutions. In this paper，we summarized the characteristics and evaluation contents of adults with hematuria by reviewing the relevant literatures. We conclude that the etiological treatment is fundamental，and it is important to follow-up for those whose cause is unknown. Hopefully，this paper can provide reference for the general practitioners to deal with adult hematuria.

【Key words】 Hematuria；Asymptomaticmicrohematuria；Gross hematuria；First diagnosis；Standardized diagnosis and treatment

隨著人們健康意識(shí)的增強(qiáng)，越來(lái)越多的人開(kāi)始重視體檢，全科門(mén)診經(jīng)常接診到體檢偶然發(fā)現(xiàn)尿隱血陽(yáng)性或鏡下血尿的患者。（剩余7263字）