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临床医生经常通过分析患者的各项化验检查结果,结合临床表现作出诊断,估价患者的肾功能,有些化验结果还有助于治疗方案的选择以及预后的判断。临床上尿液常规检查(尿沉渣显微镜检查,尿蛋白测定见表1),肾小球滤过功能的估价(BUN、血Cr、Ccr),血浆蛋白,蛋白电泳,与血脂的测定,早就成为原发性肾小球疾病诊治不可少的指标,以上各项检查都有一定的临床价值。但是其中有的并无特异性,有的有局限性。例如,尿沉渣中有各种有形成分的显微镜检查能发现镜下血尿与血尿的程度,而血尿的原因很复杂,除了肾小球疾病可引起血尿以外,泌尿道任何部位的出血都能导致
Clinicians often through the analysis of the patient’s laboratory test results, combined with clinical manifestations to make a diagnosis, evaluation of patients with renal function, and some laboratory tests also help to determine the treatment options and prognosis. Urine routine examination (urinary sediment microscopy, urinary protein determination in Table 1), evaluation of glomerular filtration function (BUN, blood Cr, Ccr), plasma protein, protein electrophoresis, and lipids, as early as Become an essential indicator of primary glomerular disease diagnosis and treatment, the above checks have a certain clinical value. But some of them are not specific and some have limitations. For example, urinary sediment microscope with a variety of visible components can detect microscopic hematuria and hematuria, and the reasons for hematuria is very complex, in addition to glomerular diseases can cause hematuria, bleeding anywhere in the urinary tract can lead to