Ho E T, Johnston S R, Keane P F
Regional Urology Unit, Belfast City Hospital.
Ulster Med J. 1998 May;67(1):25-8.
One hundred consecutive patients with haematuria were seen over a three month period at the haematuria clinic, Belfast City Hospital. 14% of patients were found to have transitional cell carcinoma of the urinary bladder; all of these presented with frank haematuria and were over 50 years of age. No malignancy was detected in the microscopic haematuria group. 14% of patients with macroscopic haematuria held back for longer than one month before seeking advice from their general practitioner. 23% with macroscopic and 30% with microscopic haematuria had their symptoms noted by the general practitioner for more than a month before they were referred for investigation. The waiting time for initial investigation at the haematuria clinic took longer than six weeks in 52% with macroscopic and 39% with microscopic haematuria. Our study has identified a high-risk group who need immediate referral and investigation. The importance of patient education, rapid referral by general practitioners and also the need to increase the capacity of the haematuria clinic are emphasized.
在贝尔法斯特市医院血尿诊所的三个月时间里，共接待了100例连续性血尿患者。发现14%的患者患有膀胱移行细胞癌；所有这些患者均表现为肉眼血尿，且年龄超过50岁。镜下血尿组未检测到恶性肿瘤。14%的肉眼血尿患者在向全科医生咨询前拖延了一个多月。23%的肉眼血尿患者和30%的镜下血尿患者在被转诊进行检查前，其症状被全科医生注意到超过一个月。血尿诊所进行初次检查的等待时间，肉眼血尿患者中有52%、镜下血尿患者中有39%超过了六周。我们的研究确定了一个需要立即转诊和检查的高危人群。强调了患者教育、全科医生快速转诊的重要性，以及增加血尿诊所接待能力的必要性。
