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目前一般认为,成人的镜下血尿,虽无症状,亦应作详细检查,包括静脉肾盂造影和膀胱镜检查。因为这些病人中的5～20％有严重的泌尿系统病变。但作者根据其研究材料,认为这种看法并不全面。在青年人或40岁以下的壮年人,并不值得为了无症状的镜下血尿作有创伤性的检查。作者的论据是:1,000名无症状的男性空军人员,每年作尿沉渣检查,开始时年龄是18～33岁,前后经历共15年,平均每人力12.2年。其中在1次或多次检查中,每高倍视野的红细胞>2～4个者,占38.7％,即共387人。在337人中,其中161人在5年内有2次以上有镜下血尿。在此组
It is generally believed that adult microscopic hematuria, although asymptomatic, should also be examined in detail, including intravenous pyelography and cystoscopy. Because 5 to 20% of these patients have severe urological disease. However, according to the author’s research material, this view is not comprehensive. It is not worth traumatic examinations for asymptomatic microscopic hematuria in young people or under-40s. The author’s argument is: 1,000 asymptomatic male air force personnel, each urine urinary sediment examination, the beginning of the age of 18 to 33 years old, before and after a total of 15 years, an average of 12.2 years per person. Among them, in one or more examinations, the number of erythrocytes per high power field> 2-4, accounting for 38.7%, that is 387 in total. Among 337 people, 161 of them had microscopic hematuria more than 2 times in 5 years. In this group