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本文用光镜活体染色方法观察流行性出血热血尿中红细胞形态,主要是“肾小球性”血尿。血尿中变形RBC和正常RBC在大小和形态上差异明显。变形RBC百分率随着病情进展百分率上升,极期最高,恢复期渐正常。变形RBC在80%以上,血尿中素氮、肌肝含量明显升高。最后,对血尿中变形RBC原因进行了初步讨论。并建议EHF患者血尿变形RBC变化,可作为肾损伤一个重要指标。
In this article, we observed the erythrocyte morphology in epidemic hemorrhagic fever and hematuria by light microscopy, mainly “glomerular” hematuria. Hematuria deformity RBC and normal RBC in size and morphology differences significantly. Deformed RBC percentage with the progress of the disease increased, the highest period, the recovery period as normal. Deformation of RBC in more than 80%, hematuria, nitrogen, muscle liver significantly increased. Finally, the reasons for the deforming RBC in hematuria were discussed. And suggested hematuria degeneration RBC changes in patients with EHF can be used as an important indicator of renal injury.