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 explore the clinical value of Urine leucocyte, red blood cells and serum creatinine for diagnosis cardiac cerebral infarction. Methods Selected 60 cases with cerebral infarction in our hospital, according to TOAST classiifcation standard divided into cardiac cerebral infarction (24 cases) and non cardiac cerebral infarction (36 cases) two groups, collected patients within 24 hours after admission, routine urine and blood tests, clinical and biochemical specimen to determine the urine leucocyte, red blood cells and serum creatinine levels, under the guidance of relevant criteria values, given the statistical analysis and draw the conclusion. Results Cardiac cerebral infarction patients with routine urine test results in the WBC count, red blood cell count, and serum creatinine, were higher than the without cardiac cerebral infarction group, P<0.05, had difference statistically signiifcance. The 24 hours urine protein urine speciifc gravity, P>0.05, had no difference statistically significance. Conclusion Clinically by detecting urine leucocyte, red blood cells and serum creatinine level can accurately differentiate diagnose cardiac disease and non-cardiac cerebral infarction, and routine urine specimen conveniently, simple operation and low price.
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