血尿诊断算法及关键鉴别诊断

MMW - Fortschritte der Medizin Pub Date : 2025-01-01 DOI:10.1007/s15006-024-4537-4

Julian Hermans, Christian G Stief, Gerald Bastian Schulz

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引用次数: 0

摘要

血尿的不同原因主要取决于年龄、性别和临床情况。大量血尿应采用膀胱镜检查和高级影像学检查（CT/MRI伴尿相）。大量血尿最常见的鉴别诊断包括尿路感染、结石和尿路上皮癌。泌尿外科急诊定义为大量血尿伴血凝块、尿潴留和新的植物性症状。

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[Diagnostic algorithm and key differential diagnoses of hematuria].

The different causes of hematuria depend largely on age, gender and clinical context. Macrohematuria should always be investigated using cystoscopy and advanced imaging (CT/MRI with urographic phase). The most common differential diagnoses of macrohematuria include urinary tract infection, stones and urothelial carcinoma. A urological emergency is defined as macrohematuria with blood clot, urinary retention and new vegetative symptoms.

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来源期刊

MMW - Fortschritte der Medizin Medicine-Medicine (all)

CiteScore

0.20

自引率

0.00%

发文量

931

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