尿液检验 urinalysis
尿液检验 urinalysis
尿液检验的临床意义 作为泌尿系统本身疾患的指标 作为消化、血液、内分泌系统疾病的指标 作为药物、毒物监测的指
尿液检验的临床意义 • 作为泌尿系统本身疾患的指标 • 作为消化、血液、内分泌系统疾病的指标 • 作为药物、毒物监测的指标
尿液检验的内容 理学检验 尿量、气味、外观、比重、pH值 化学检验 尿蛋白、尿糖、酮体、尿胆红素与尿胆原 显微镜检验 细胞、管型、结晶体 病原体检验
尿液检验的内容 • 理学检验 尿量、气味、外观、比重、pH值 • 化学检验 尿蛋白、尿糖、酮体、尿胆红素与尿胆原 • 显微镜检验 细胞、管型、结晶体 • 病原体检验
尿液标本的采集和保存 常规检查 新鲜晨尿或餐后两小时留尿;2不宜冷藏 3尿道口必须清洁;4盛放容器应清洁; 5一般取尿10-20m 定量检查: 1需加防腐剂或冷藏:甲苯5m/尿;40%甲醛5m/L尿;2 尿量务必准确 病源学检查: 0.1%新洁而灭消毒尿道口和外阴部->干棉球擦净 ->留取中段尿(容器无菌)→>及时送检
尿液标本的采集和保存 • 常规检查 1 新鲜晨尿或餐后两小时留尿；2 不宜冷藏； 3 尿道口必须清洁；4 盛放容器应清洁； 5 一般取尿10-20ml • 定量检查： 1 需加防腐剂或冷藏：甲苯5ml/L尿; 40%甲醛5ml/L尿；2 尿量务必准确 • 病源学检查： 0.1%新洁而灭消毒尿道口和外阴部->干棉球擦净 ->留取中段尿(容器无菌)->及时送检
Various special urine samples 。Type Collection indication Fasting urine Urine before breakfast in Accurate test urine glucose the morning concentration 3h urine Total urine within 3 hours in Examination of urine the morning sediment excretion rate 12h urine Total urine within night 12 Quantitative tests of urin hours sediment(Addis count) 24h urine Total urine within 24 hours Quantitative tests of urine a day protein, glucose, creatinine etc Test of 3-cup urine Collecting the initial, middle To assist the differentiation and last sections during a of the origin of hematuria urination separately Other Collecting the urine before To diagnosis the orthostatic and after standing proteinuria separately
Various special urine samples • Type Collection indication Fasting urine Urine before breakfast in the morning Accurate test urine glucose concentration 3h urine Total urine within 3 hours in the morning Examination of urine sediment excretion rate 12h urine Total urine within night 12 hours Quantitative tests of urine sediment (Addis’ count) 24h urine Total urine within 24 hours a day Quantitative tests of urine protein, glucose, ,creatinine, etc. Test of 3-cup urine Collecting the initial, middle and last sections during a urination separately To assist the differentiation of the origin of hematuria Other Collecting the urine before and after standing separately To diagnosis the orthostatic proteinuria