摘 要：目的 强调在使用尿干化学分析仪和全自动沉渣仪常规检测红细胞时显微镜检查的重要性。方法 随机收集患者新鲜晨尿800例，分别使用显微镜检查、干化学分析仪和全自动尿沉渣分析仪检测，比较三种方法红细胞的检测结果。结果 干化学分析仪法红细胞阳性率31.3%，尿沉渣仪法红细胞阳性率27.0%，尿沉渣镜检红细胞阳性率为21.0%，结论 干化学法和沉渣分析仪法在检测尿液红细胞时均出现一定的假阳性分别为10.6%和9.0%和假阴性分别为2.7%和2.5%，因此，当红细胞结果出现异常，就必须对异常标本依据显微镜检查的标准化程序进行显微镜检查以确诊，力争为临床提供更准确的检验结果，避免造成误诊误治。

Abstract：Objective To explore the importance of microscope examination in detection of red blood cell in urine with urine dry chemistry analyzer and automatic sediment analyzer. Methods 800 cases of fresh morning urine were randomly collected and the content of red blood cell in urine was detected by using microscopy, dry chemistry analyzer and automatic urine sediment analyzer respectively. The results were analyzed and compared. Results The positive rate of red blood cell was 31.3% with dry chemistry analyzer method, 27% with urine erythrocyte sediment analyzer and 21% with urine sediment microscopic examination. The false positive rate for dry chemical method and sediment analyzer method in the detection of urinary red blood cell were 10.6% and 9%, and the false negative were 2.7% and 2.5% respectively. Conclusion When the red cells result in samples is abnormal, the microscopic examination must be used for abnormal specimens detection to confirm the diagnosis, and strive to provide a more accurate test results for clinical to avoid misdiagnosis.