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目的探讨尿白细胞、红细胞及血肌酐对于诊断心源性脑梗死的临床价值。方法选取我院收治的60例脑梗死患者,根据TOAST分型标准将其分为心源性脑梗死(24例)及非心源性脑梗死(36例)两组,收集患者入院后24 h内的尿常规以及血常规、临床生化标本,测定其尿白细胞、红细胞及血肌酐水平,在相关指标标准值的指导下,给予统计分析。结果心源性脑梗死患者尿常规检测结果中白细胞计数、红细胞计数、血清肌酐均高于非心源性脑梗死组,P<0.05,差异具有统计学意义,尿比重以及24 h尿蛋白组间比较,P>0.05,差异不具有统计学意义。结论临床上通过检测尿白细胞、红细胞及血肌酐水平可以准确鉴别诊断心源性以及非心源性脑梗死疾病,且尿常规标本取材方便,操作简单,价格低廉。
Objective To investigate the clinical value of urinary leucocytes, erythrocytes and serum creatinine in the diagnosis of cardio-cerebral infarction. Methods Sixty patients with cerebral infarction admitted to our hospital were divided into two groups: cardiogenic cerebral infarction (24 cases) and non-cardiac cerebral infarction (36 cases) according to the TOAST classification standard. The patients were admitted to hospital for 24 hours Within the urine and blood routine clinical biochemical specimens, determination of urinary leucocytes, erythrocytes and serum creatinine levels, the relevant indicators in the standard value under the guidance of statistical analysis. Results The results of routine urine test showed that the white blood cell count, red blood cell count and serum creatinine in patients with cardio-cerebral infarction were significantly higher than those in non-cardiac cerebral infarction group (P <0.05), the difference was statistically significant. Urinary specific gravity, Comparison, P> 0.05, the difference was not statistically significant. Conclusions The clinical diagnosis of cardiogenic as well as noncardio-cerebral infarction can be accurately distinguished by detecting the level of urine leucocytes, erythrocytes and serum creatinine, and the urine samples are easy to be drawn, simple to operate and low in price.