p******s
发帖数: 229 | 1 近期体检，血，尿常规检查，发现：
血总胆红素 1.7mg/DL （正常为0.2-1.2mg/DL）；
尿中红细胞2个加号；
其他指标均正常。
腹部B超显示肝胆脾肾未见异常。医生要求尿常规复查。
距上次体检2周，今天去了，中段尿，还是红细胞2个加号，其他无异常。
医生说要看泌尿专科，做膀胱镜检查。
本人近40岁，没有其他疾病，自觉无症状。
请问各位大人，无症状血尿可能是什么原因? 觉得这个膀胱镜做起来也蛮难受的。还是能避免最好。
多谢关照！ | g***r
发帖数: 285 | 2
是能避免最好。
for any hematuria, you really have to try very hard to distinguish between
glomerular disease and extra-glomerular disease, if there is any red cell
cast, protein, abnomrally shaped red cells in the urine, then it's likely
glomerular disease and any further urological evaluation is not necessary
and you need to see a nephrologist,
assume you have painless microscopic hematuria, slightly elevated bilirubin,
all other labs and all other indices in urinalysis are normal, sounds like
urolog
【在 p******s 的大作中提到】
: 近期体检，血，尿常规检查，发现：
: 血总胆红素 1.7mg/DL （正常为0.2-1.2mg/DL）；
: 尿中红细胞2个加号；
: 其他指标均正常。
: 腹部B超显示肝胆脾肾未见异常。医生要求尿常规复查。
: 距上次体检2周，今天去了，中段尿，还是红细胞2个加号，其他无异常。
: 医生说要看泌尿专科，做膀胱镜检查。
: 本人近40岁，没有其他疾病，自觉无症状。
: 请问各位大人，无症状血尿可能是什么原因? 觉得这个膀胱镜做起来也蛮难受的。还是能避免最好。
: 多谢关照！
| p******s
发帖数: 229 | 3 thanks, gomer!
it was a dipstick test. no sex for several days before testing.
so you think urilogical exam is reasonable to go further?
thanks again. | p******s
发帖数: 229 | | p******s
发帖数: 229 | 5 it was only "blood: ++" from dipstick, no other items about red cells
evaluated.
thanks, mitwsn! | p******s
发帖数: 229 | 6 thanks again, mitwsn! i should have said "blood" at beginning. sorry about
that. you and gomer are so professional and literally responded to my posts.
admire! |
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