2600名婴幼儿隐血情况调查

Investigation on urine occult blood in 2600 infants

目的:调查婴幼儿中尿隐血情况。方法:收集2600名0岁～3岁的健康婴幼儿新鲜随机尿液,1 h内检测。婴幼儿经B超排除泌尿系统结石的可能。结果:2600例中尿隐血阳性153例,占5.88%。其中BLD(+-)74例,占2.85%,BLD(+)47例,占1.80%,BLD(2+)24例,占0.92%,BLD(3+)8例,占0.31%。以上尿隐血阳性患儿,前两者离心沉淀后,镜检查到红细胞为阳性的分别是60例和39例,阳性率为2.31%和1.50%,低于尿隐血阳性率;后两者离心沉淀后,镜下均查到红细胞,与尿隐血阳性率一致。结论:对于婴幼儿期出现的尿隐血阳性或镜检查到红细胞一定要动态观察,综合分析,早日查明原因,及早治疗。

Objective：To investigate the urine occult blood in infant population.Methods：2600 fresh and random urine samples were collected from 0-3 years old health infant and detected in one hour.Calculus in urinary system was excluded by using of B-ultrasound.Results：Total 153 positive occult blood samples were detected in the 2600 samples（5.88%）,including BLD（＋-） of 74 samples（2.85%）,BLD（＋） of 47 samples（1.80%）,BLD（2＋）of 24 samples（0.92%） and BLD（3＋）of 8 samples（0.31%）.In the former two BLD positive cases,red blood cells were observed in 60 and 39 samples under microscope,the positive rates were 2.31% and 1.50%,respectively;the positive rates were lower than those of urine occult blood test.In the latter two cases,RBC were found in all the samples with positive occult blood.Conclusion：Positive urine occult blood and RBC can be observed in the infant population without urinary system calculus.We should arouse attention to these cases,analyzed for the cause and cure as early as possible.