尿里红细胞蛋白求诊断

网友性别：男年龄：25 婚育情况：未婚

2014-10-20 17:21:42 | 浏览：575

男25岁，最近总感觉腰痛乏力，去医院做检查。尿沉淀十项检查，尿里有19个红细胞/uL，正常值为0～12，晨尿检查过4次两次尿蛋白为+-阴性，晨尿比重较大～后来又检查了两次，高倍视野下红细胞0.1个，正常值0～3，尿蛋白隐形；医生说没事儿～
后来复查，尿红细胞很少，在正常范围，尿蛋白10mg/dl，大夫说让检查24小时尿定量，查了结果是50mg/24h，请问大夫正常么，是得了肾病么
请问医生、尿蛋白定量一天50mg是肾病前兆么，还有晨尿检查蛋白是+-是怎么回事，做了两次肾脏B超没有问题都。晨尿有时有微量蛋白，每次都有一点红细胞但都在正常值内，镜检查没有红细胞。有时没有。24小时定量50mg一天。麻烦医生给予分析一下我的症状、该怎么治疗、谢谢医生了！

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关天俊医生回复发表于 2014-10-31 12:12:23

    蛋白尿并非都是病态，有生理性蛋白尿和病理性蛋白尿之分。生理性蛋白尿，是指出现于健康人的暂时性蛋白尿。多见于青年人，在剧烈运动、发热、高温、受寒、精神紧张等因素影响下，男性遗精、前列腺炎也可表现为尿检有蛋白。病理性蛋白尿一般24小时尿蛋白量超过150毫克。您目前的情况，建议随访，暂可不特殊处理。

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关天俊 | 向该医生提问

厦门大学附属中山医院 - 主任医师

周丽华医生回复发表于 2014-11-10 23:50:05

我觉得你的尿检有问题，你确定留取的是中断尿吗？尿有没有被其他物质污染呐？你留尿之前是不是把尿道口擦干净？最好留尿之前先把尿道口清洗一下，留取新鲜尿液。就目前你的情况我认为只要生活规律，无不良嗜好，定期复查，不需要服药。

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周丽华 | 向该医生提问

厦门大学附属中山医院 - 主任医师

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尿里红细胞蛋白求诊断

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