摘要
目的探讨外周血异常红细胞的形态学检验在降低血液病漏诊、误诊中的价值,提高对血液病的诊断水平。方法选择2011年2月至2013年2月来本院住院和门诊的患者582例,对其外周血细胞形态进行复查。结果检出小细胞贫血患者83例(14.3%),大细胞贫血患者15例(2.6%),附红细胞体患者61例(10.5%),疟原虫患者19例(3.3%),异常细胞患者26例(4.5%),提示感染患者114例(19.6%),异常淋巴细胞患者97例(16.7%);红细胞大小异常患者97例,其中小细胞性贫血患者83例,均为缺铁性贫血;大细胞性贫血患者15例,经验证12例属于巨幼红细胞贫血,2例属于溶血性贫血,1例为急性失血性贫血。结论对于外周血红细胞的形态学检验,为临床血液病的诊断提供了重要的临床信息,因此重视外周血红细胞的形态学检验,有助于降低血液病的漏诊和误诊,提高血液病的诊断水平。
Objective To analyses the abnormal red blood cells in peripheral blood of morphological examination in reducing blood diseases diagnosis and misdiagnosis, improve blood disease diagnosis value significance. Methods Choice in February 2011 to February 2013 to our hospital inpatient and outpatient patients 582 cases, the peripheral blood cells form for review. Results Detection of 83 patients with small cell anemia (14.3%), 15 cases (2.6%), large cell anemia patients with red cell body patients 61 cases (10.5%), 19 cases (3.3%) patients, 26 patients with abnormal cells (4.5%) in the patients with infection, 114 cases (19.6%), 97 patients with abnormal lymphocytes (16.7%);97 patients with abnormal red blood cell size, of which 83 patients with small cell anemia, for iron deifciency anemia;15 patients with large cell anemia, veriifed and 12 cases belong to the giant young red blood cell anemia, 2 cases belong to the hemolytic anemia, 1 case of acute blood loss anemia. Conclusion For peripheral blood erythrocyte morphology test for the diagnosis of clinical haematology provide important clinical information, therefore attaches great importance to the peripheral blood erythrocyte morphology inspection, help to reduce the missed diagnosis and misdiagnosis of blood disease, in order to improve blood disease diagnosis rate.
出处
《中国医学前沿杂志（电子版）》
2014年第2期54-56,共3页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
关键词
细胞形态学
血液病
漏诊
误诊
Cell morphology
Blood disease
In diagnosis
Misdiagnosis
