血尿患者血液流变学改变与临床意义

观察５５例血尿患者的血液流变学指标，结果表明：肾小球性血尿和非肾小球性血尿有明显差异，主要为血液粘度降低，红细胞压织降低，血浆粘度增高，血浆纤维蛋白原增高，血液粘度降低和红细胞压积降低有关。血液粘度的改变与血浆纤维蛋白原的增高和肾小球疾病的发展及血尿的形成有着因果的关系，其临床意义不仅可以关断血尿的性能，也提示治疗的方法。

Changes of Hemo rhcological Index in Hematuria and their Clinical Siginficance

Hemorheological index was Obsewede in 55 cases of hematuria,the results demonstrated that there were obvious difrerence statistically(P< 0.01)between glomerulose and nonglomerulosehematuria.In cases of glomerulose hematuria,there were lower blood viscosity,decreasedhematocrit,increased plasmatic viscosity and fibrinogen,and the lower blood viscosity was resulted from decreased hematocrit.This was the cause of chan of change in blood viscosity and increasein fibrinogen which aggravated glomerulonephritis and produced heaturia.The clinicalsingificance was not only distinguished the nature of hematuria but also provided guaidancefor the treatment.