278例获得性免疫缺陷综合征患者外周血细胞学特征分析  

Cytological characteristics of peripheral blood in 278 patients with AIDS

作　　者：韦善求 苏国生[1] 罗晓璐[1] 苏汉珍[1] 黄婉虹 袁春[1] 罗顺达[1] 

机构地区：[1]广西南宁市第四人民医院/广西艾滋病治疗中心,南宁市530023

出　　处：《内科》2015年第1期6-7,共2页Internal Medicine

基　　金：广西壮族自治区卫计委医药卫生科研计划项目(Z20120631);南宁市科学研究与技术开发计划项目(201109047C)

摘　　要：目的探讨获得性免疫缺陷综合征(AIDS)患者外周血细胞学特征。方法对278例AIDS患者外周血常规检查及CD4+T淋巴细胞计数结果进行回顾分析。结果本组患者贫血、CD4+T淋巴细胞<200个/μL、白细胞减少、血小板减少、白细胞增多的发生率依次是90.2%、84.5%、41.0%、38.4%、10.0%,贫血患者中正细胞性贫血和类型不明确的贫血分别占40.0%、32.6%。结论贫血和CD4+T淋巴细胞减少是AIDS患者外周血重要的细胞学特征,常伴白细胞和血小板减少,贫血性质以正细胞贫血多见。Objective To investigate the cytological characteristics of peripheral blood in patients with acquired immune deficiency syndrome（ AIDS）. Methods A total of 278 AIDS patients were enrolled,the datas of peripheral blood routine examination and CD4＋T lymphocyte counting were analyzed retrospectively. Results In this group of cases,the rate of incidence of anemia,number of CD4＋T lymphocyte 200 / μL,aleucocytosis,thrombocytopenia and eocylosis were 90. 2%,84. 5%,41. 0%,38. 4% and 10. 0%,respectively. Among the anemia patients,40. 0% were positive cell anemia,32. 6% were type of indefinite. Conclusions Anemia and decreased number of CD4＋T lymphocytoponia are important cytological features of peripheral blood in AIDS patients,often accompanied by leukocytopenia and thrombocytopenia,the anemia type in AIDS patients is largely showed as cell anemia.

关 键 词：获得性免疫缺陷综合征 人类免疫缺陷病毒 外周血 

分 类 号：R512.91[医药卫生—内科学]