摘要
目的了解疱疹性咽峡炎患儿早期血象变化情况,探讨其辅助临床诊疗的意义。方法对116例疱疹性咽峡炎患儿发病早期采集EDTA-k2抗凝静脉血,使用Sysmex XT-2000i全自动五分类血细胞分析仪进行血常规分析,同时对符合复检要求和医生申请镜检的共76份标本推片作外周血细胞形态学检查,对两种结果进行整体综合分析。结果 116例疱疹性咽峡炎患儿早期血常规结果中,WBC计数高同时中性粒细胞百分率及绝对值高者58例,占50%;WBC计数低同时淋巴细胞百分率及绝对值高者46例,占39.7%。76份血涂片镜检结果中,中性杆状核粒细胞比例>5%者28份,其中在20%-30%范围者3份;异型淋巴细胞比例>2%者32份,其中在5%-10%范围者12份,大于10%者4份。红系和血小板系无显著变化。结论疱疹性咽峡炎主要是由A组柯萨奇病毒引起的,但血常规结果显示早期大约有50%的患者合并细菌感染,血涂片结果显示病毒和细菌感染的双重性。及时检查患者血象可辅助临床医生鉴别诊断疱疹性咽峡炎及感染类型,为临床合理用药提供有力依据。
【Objective】To understand herpangina children with early changes in blood,to explore the significance of its supporting clinical diagnosis.【Methods】To early acquisition EDTA-k2 incidence of 116 cases of herpangina children anticoagulant blood,Sysmex XT-2000i automated blood cell analyzer for routine blood analysis,morphological examination of peripheral blood cells at the same time comply with the retesting requirements and doctors to apply microscopic examination of 76 specimens push piece,the overall analysis of the two results.【Resluts】Early routine blood test results of 116 cases of herpangina patients,WBC count and neutrophil percentage and the absolute value of the higher of 58 cases,accounting for 50%;WBC count low lymphocyte percentage and absolute high of 46 cases,accounting for 39.7%.76 blood smear microscopy results,the neutral rod nuclear granulocyte ratio 5% 28 copies,In the range of 20-30% 3 copies,Atypical lymphocyte ratio 2% 32 copies,which at 5-10% of the range of 12 parts and 4 parts,more than 10%,No significant changes in the erythroid and platelet Department.【Conclusion】Herpetic angina is mainly caused by the Coxsackie virus group A,But routine blood test results show that early easy with bacterial infection,blood smear results show that the dual nature of viral and bacterial infections。Check the patient＇s blood in a timely manner can assist clinicians differential diagnosis of herpes angina and type of infection,Provide a strong basis for the clinical use of drugs。
出处
《中国医学工程》
2012年第12期11-12,共2页
China Medical Engineering
