What does three plus red blood cells mean? Interpret the health code in urine routine
Recently, "three plus red blood cells" has become one of the hot health topics on the Internet. Many netizens were confused after discovering this indicator in the physical examination report. This article will combine the popular health information from the entire Internet in the past 10 days to explain the meaning and importance of this medical indicator in detail.
1. What is red blood cell triplus?

In routine urine examination, "three plus red blood cells" (+++) means that the number of red blood cells in the urine is significantly beyond the normal range. Medically known as "hematuria," it may indicate an abnormality in the urinary system.
| Urine red blood cell test results | Number of red blood cells per high-power field | clinical significance |
|---|---|---|
| - (negative) | 0-3pcs/HPF | normal range |
| + (positive) | 4-10pcs/HPF | mild abnormality |
| ++ | 11-25pcs/HPF | Moderately abnormal |
| +++ | 26-50pcs/HPF | Significant anomaly |
| ++++ | >50pcs/HPF | serious abnormality |
2. Common causes of triple plus red blood cells
According to recent information released by major hospital official websites and health platforms, common causes of abnormal urinary red blood cells include:
| Cause classification | specific disease | Proportion (approximately) |
|---|---|---|
| urinary tract disease | Glomerulonephritis, urinary tract infection, stones, tumors | 65% |
| systemic disease | Blood diseases, connective tissue diseases | 15% |
| physiological reasons | strenuous exercise, menstrual period | 12% |
| other reasons | Drug effects, trauma | 8% |
3. Related issues that netizens are most concerned about recently
According to statistics from major health forums and Q&A platforms, the most frequently asked questions by netizens about "red blood cell triple plus" in the past 10 days include:
1. Physical examination reveals red blood cells +++ but no symptoms. Do I need treatment?
2. Does high red blood cells in urine mean kidney failure?
3. How related are red blood cells +++ to cancer?
4. How to distinguish physiological and pathological hematuria?
5. What further tests should be done after detecting red blood cell abnormalities?
4. Processing procedures suggested by experts
Combined with the health guidelines recently issued by tertiary hospitals, it is found that the following steps should be taken to increase red blood cells:
| steps | Specific content | Things to note |
|---|---|---|
| first step | Review urine routine | Avoid menstrual period and collect mid-section urine |
| Step 2 | Urine red blood cell morphology examination | Differentiating between glomerular and non-glomerular hematuria |
| Step 3 | Imaging examination | B-ultrasound, CT, etc. to detect stones and tumors |
| Step 4 | Kidney function assessment | Serum creatinine, urea nitrogen and other tests |
| Step 5 | Specialist consultation | Further diagnosis and treatment by nephrology or urology department |
5. Prevention and daily precautions
Referring to recent health science articles, suggestions for preventing hematuria include:
1. Maintain adequate water intake, drink 1500-2000ml of water every day
2. Avoid holding urine for a long time
3. Pay attention to personal hygiene and prevent urinary tract infections
4. Control blood pressure and blood sugar within normal ranges
5. Avoid excessive strenuous exercise
6. Regular physical examinations, especially for people over 40 years old
6. Special reminder
Recently, there have been many folk remedies circulating on the Internet about "diet therapy to cure hematuria". Medical experts specifically remind: Although certain foods may help the health of the urinary system, red blood cells +++ are important clinical indicators. The cause of the disease must first be clarified, and diet cannot be relied upon alone. If abnormalities are found, seek medical treatment promptly to avoid delaying treatment.
From the above analysis, it can be seen that "three plus red blood cells" are important health signals sent by the body. There is no need to panic excessively, nor should we take it lightly. Scientific understanding, standardized examination, and reasonable treatment are the responses.
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