Corwin H L, Bray R A, Haber M H
Division of Nephrology, New England Medical Center, Boston, Mass 02111.
Arch Pathol Lab Med. 1989 Nov;113(11):1256-8.
We determined the clinical diagnosis for 183 patients who had urine samples examined for the presence of eosinophils. Urine samples were examined with both Hansel's stain and Wright's stain. A total of 11% of these patients had eosinophils detected in the urine. A variety of clinical conditions were associated with eosinophiluria. Urinary tract infection and acute interstitial nephritis were most common, each accounting for 25% of the total patients with eosinophiluria. Eosinophiluria proved to be a good predictor of acute interstitial nephritis. Hansel's stain was superior to Wright's stain in detecting eosinophils in urine. In particular, Hansel's stain increased the sensitivity of eosinophiluria for acute interstitial nephritis (63% vs 25%) as well as its positive predictive value (50% vs 25%).
我们对183例接受尿液样本嗜酸性粒细胞检测的患者进行了临床诊断。尿液样本同时采用汉斯el染色和瑞氏染色进行检查。这些患者中共有11%的尿液检测到嗜酸性粒细胞。多种临床病症与嗜酸性粒细胞尿有关。尿路感染和急性间质性肾炎最为常见，各占嗜酸性粒细胞尿患者总数的25%。嗜酸性粒细胞尿被证明是急性间质性肾炎的良好预测指标。在检测尿液中的嗜酸性粒细胞方面，汉斯el染色优于瑞氏染色。特别是，汉斯el染色提高了嗜酸性粒细胞尿对急性间质性肾炎的敏感性（63%对25%）及其阳性预测值（50%对25%）。
