浅述成人血尿的首诊诊治思路

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【摘要】 血尿是临床常见症状，尤其是无症状镜下血尿，在全科门诊或基层卫生机构首诊中更为常见。本文通过复习相关文献，总结归纳了成人血尿的病情特点和评估内容，并指出病因治疗是根本，对原因未明者，随访很重要。希望本文能够为首诊全科医师处理成人血尿提供参考。

【关键词】 血尿；无症状镜下血尿；肉眼血尿；首诊；规范化诊治

【中图分类号】 R 696.8 【文献标识码】 A DOI：10.12114/j.issn.1007-9572.2022.0286

秦红莉，任菁菁. 浅述成人血尿的首诊诊治思路［J］. 中国全科医学，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：3204092@zju.edu.cn

【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

随着人们健康意识的增强，越来越多的人开始重视体检，全科门诊经常接诊到体检偶然发现尿隐血阳性或镜下血尿的患者。（剩余7263字）