Toyoda Y, Naitoh Y, Miyamoto K, Hiromoto Y, Maruyama K, Haraguchi C
Department of Urology, Tokyo Metropolitan Hiroo General Hospital.
Hinyokika Kiyo. 1988 Aug;34(8):1357-61.
We reviewed the outcome of 300 cases without urinary tract infections to determine the relationship between leucocytosis and severe pain due to ureteral calculi. Leucocytosis above 9,000 cells per cmm was seen in 87.7% of the cases. Many patients (61%) had a leucocyte count between 9,000 and 12,000, but none had that exceeding 22,000. This leucocytosis can be attributed to a transient distributional alteration by means of leucopheresis to circulation sites from a storage pool such as the blood vessels in the spleen, liver, lung, etc. Since leucocytosis often accompanies ureteral calculi, caution should be exercised in distinguishing it from appendicitis.
我们回顾了300例无尿路感染患者的结果，以确定白细胞增多与输尿管结石所致剧痛之间的关系。每立方毫米白细胞计数超过9000个细胞的情况在87.7%的病例中可见。许多患者（61%）的白细胞计数在9000至12000之间，但无一例超过22000。这种白细胞增多可归因于通过白细胞除去术使白细胞从诸如脾脏、肝脏、肺等储存池向循环部位的短暂分布改变。由于白细胞增多常伴随输尿管结石，因此在将其与阑尾炎区分时应谨慎。
