高原环境下血涂片淋巴细胞形态变化及临床意义  

Clinical Significance of Lymphocytes Morphology on Blood Smear in High Altitude

作　　者：石泉贵[1] 冯东方[1] 石华英[1] 童静[1] 肖静[1] 丁巳娟[1] 

机构地区：[1]西藏军区总医院检验科,西藏拉萨850007

出　　处：《西藏医药》2014年第3期1-2,70,共3页Tibetan Medicine

摘　　要：目的探讨高原环境下外周血涂片淋巴细胞形态学变化的临床意义。方法选海拔3700米门诊及住院确诊的传染性单核细胞增多症、传染性淋巴细胞增多症、病毒性肝炎、病毒性肺炎、慢性淋巴细胞白血病等患者确诊后,治疗前的外周末梢血涂片,瑞氏染色、油镜﹙10×100倍﹚观察淋巴细胞形态。结果发现传染性单核细胞增多症、传染性淋巴细胞增多症、病毒性肝炎、病毒性肺炎、巨细胞病毒感染、粒细胞减少症、粒细胞缺乏症、再生障碍性贫血、急性淋巴细胞白血病、慢性淋巴细胞白血病等患者的淋巴细胞形态均有不同程度的改变。结论淋巴细胞形态学检查在上述疾病的诊断、治疗、预后评估均具有重要的临床意义。Objectives We assessed clinical practical significance of erythrocytes morphology on blood smear in high altitude. Methods Collecting peripheral blood from patients diagnosed of anemia and leukemia, we observed erythrocytes morphology by blood smearing, Wright's staining and oil microscope imaging(10×100). Results We found 20 kinds of abnormal erythrocytes in different anemia and leukemia patients and applied it into diagnose. Conclusions Erythrocyte morphology on blood smear has clinically important significance for diagnosis, treatment and prognosis of anemia and leukemia.

关 键 词：高原 血涂片 淋巴细胞 形态 临床意义 

分 类 号：R446.1[医药卫生—诊断学]