全血细胞减少患者血片和骨髓象检查及其临床意义  

The detection of peripheral blood smear and bone marrow examination in patients with panhematopenia and its clinical significance

作　　者：阳正东 邓茜 马林 

机构地区：[1]重庆市永川区人民医院红河分院检验科, 重庆市402160

出　　处：《中国基层医药》2014年第2期226-227,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨外周血涂片和骨髓象检查技术对180例全血细胞减少患者病因诊断的临床意义.方法 以180例全血细胞减少患者为研究对象,进行外周涂血片和骨髓象的检查,并对结果进行分析.结果 180例患者中由非造血系统疾病引起50例,其中慢性肝炎20例,肝硬化3例,肺癌4例,恶性肿瘤10例,心内膜炎3例,结缔组织类疾病7例,胃癌1例,系统性红斑狼疮1例,脾功能亢进1例；造血系统疾病引起130例,其中急性白血病74例,骨髓增生异常综合征13例,再生障碍性贫血13例,巨幼红细胞性贫血30例.结论 外周涂血片和骨髓象检查有利于诊断全血细胞减少的病因,骨髓象检查可以提高诊断全血细胞减少病因的准确率.Objective To explore the clinical significance of peripheral blood smear and bone marrow examination in the etiological diagnosis of panhematopenia.Methods 180 cases of panhematopenia were selected and were given peripheral blood smear and bone marrow examination,and the results were analyzed.Results There were 50 cases of panhematopenia because of non hematopoietic system diseases.Among 50 cases of non-hematopoietic system disease,there were 20 cases of chronic hepatitis,3 cases of cirrhosis,4 cases of lung cancer,10 cases of malignant tumors,3 cases of endocarditis,7 cases of connective tissue-like illness,1 case of gastric cancer,1 case of systemic lupus erythematosus and 1 case of hypersplenism.Due to diseases of the hematopoietic system,there were 130 cases of panbematopenia.Among 130 cases of panhematopenia due to diseases of the hematopoietic system,there were 74 cases of acute leukemia（AL）,13 cases of myelodysplastic syndrome（MDS）,13 cases of aplastic anemia（AA） and 30 cases of megaloblastic anemia（MA）.Conclusion Peripheral blood smear and bone marrow examination is conducive to diagnose the cause of the panhematopenia.Bone marrow examination could improve the accuracy rate of panhematopenia.

关 键 词：全血细胞减少 骨髓象检查 造血系统 外周血涂片 

分 类 号：R552[医药卫生—血液循环系统疾病]