查詢結果分析
來源資料
相關文獻
- Hematuria: Analysis of 738 Outpatients
- 血尿的鑑別診斷與處置
- 舉重選手重量訓練後血液生化值的變化
- Effects of Pre-Exercise Acupuncture on Urea Nitrogen Levels in the Blood of Basketball Players
- 血尿病患之護理
- Ureteral Catheter Elongation and Placement with Flexible Cystoscopy
- Nutcracker症候群
- Findings of Persistent Microscopic Hematuria in a Cancer Prevention and Early Detection Program
- 唾液與血液中乳酸、肌酸酐、血尿素氮、尿酸濃度之比較
- 兒童血尿
頁籤選單縮合
題 名 | Hematuria: Analysis of 738 Outpatients=血尿:738位病人的回溯性研究 |
---|---|
作 者 | 陳達隆; 黃昭淵; 洪冠予; 蔡敦仁; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷 期 | 19:2 民94.06 |
頁 次 | 頁56-61+91 |
分類號 | 415.816 |
關鍵詞 | 血尿; 膀胱鏡; 靜脈泌尿道攝影; Hematuria; Cystoscopy; Intravenous urography; IVU; |
語 文 | 英文(English) |
英文摘要 | No universal consensus on the approach to hematuria has been established up to present. We performed a retrospective analysis of 738 outpatients with hematuria to evaluate the common etiology and diagnostic algorithm in these patients. All outpatient clinic hematuria patients between January 1999 and April 1999 were reviewed. Demographic data regarding age and gender were recorded, and the diagnostic studies were analyzed included urinalysis, urine RBC morphology, urine calcium/creatinine ratio, urine cytology, urological image and cystoscopy. Among the 738 patients, 49 (6.6%) patients were diagnosed as highly significant lesions (malignancy), 299 patients (40.5%) had moderately significant lesions and 103 patients (14.0%) showed insignificant lesions. (1) Among 49 cancer patients, 4 were below 40 years and 1 of these 4 cancer patients presented with asymptomatic microscopic hematuria (microhematuria). (2) Two cancer patients showed 3 or less red blood cells per high power field in all urinalysis specimens before cancers were proved. (3) the efficacy rate of combining KUB and renal sonography were almost higher than IVU alone. (4) Cystoscopy was able to reveal bladder cancer even in the asymptomatic microhematuria patients younger than 40 years, but IVU was not. (5) Analysis of RBC morphology was performed in only 7.4% patients. Urine calcium/creatinine ratio was performed in 11.5% patients. No patient was screened for 24 hours uric acid excretion. Complete investigative procedure still should be done for elderly (>40 years) patients. For those under 40 years with asymptomatic microhematuria, cystoscopy also should be considered. IVU probably can be replaced by KUB and renal sonography for patients younger than 40 years with microscopic hematuria. Urine calcium/creatinine ratio, 24 hours uric acid excretion and urine RBC morphology should be included in the work-up list. |
本系統中英文摘要資訊取自各篇刊載內容。