外周血异常红细胞形态学检验在血液病诊断中的价值  

The Value of Morphological Examination of Abnormal Erythrocytes in Peripheral Blood in Diagnosis of Hematological Diseases

作　　者：谢娅超 解鸿翔[2] 章震花 XIE Yachao;JIE Hongxiang;ZHANG Zhenhua(Zhenjiang First People's Hospital Jiangsu Zhenjiang 212002,China;Zhejiang Provincial People's Hospital,Hangzhou Medical College Affiliated People's Hospital,Hangzhou 310000,China;Jiangsu Zhenjiang Fourth People's Hospital,Zhenjiang 212000,China)

机构地区：[1]江苏镇江市第一人民医院,镇江212002 [2]浙江省人民医院,杭州医学院附属人民医院,杭州310000 [3]镇江市第四人民医院,镇江212000

出　　处：《中国医药指南》2024年第2期61-63,共3页Guide of China Medicine

摘　　要：目的分析外周血异常红细胞形态学检验在血液病中的诊断价值。方法回顾性分析2021年1月至2022年12月于我院就诊的102例血液病患者临床资料。所有纳入患者均进行了全自动血液分析仪检验及外周血异常红细胞形态学检验,对比分析两种不同检验方式的诊断效果。结果在检出率方面,外周血异常红细胞形态学检验优于全自动血液分析仪检验(P<0.05)。在行外周血异常红细胞形态学检验后,有93例(91.18%)存在形态异常的患者。包括:大细胞贫血共5例,其中3例患者经骨髓检查证实为巨幼红细胞性贫血,1例为溶血性贫血,1例为急性缺血性贫血;小细胞贫血共20例,均为缺铁性贫血;附红细胞体13例;异常细胞8例;异性淋巴细胞19例;疟原虫1例;感染24例。结论在血液病诊断过程中,应用外周血异常红细胞形态学检验,可提高血液病正确诊断率,减少误诊及漏诊。Objective To analyze the diagnostic value of abnormal erythrocyte morphology test of peripheral blood in blood diseases.Methods The clinical data of 102 patients with hematologic diseases who visited our hospital from January 2021 to December 2022 were retrospectively analyzed.All the included patients underwent automatic hematology analyzer test and peripheral blood abnormal erythrocyte morphology test to compare and analyze the diagnostic effects of the two different tests.Results In terms of detection rate,peripheral blood abnormal erythrocyte morphology test was superior to fully automatic hematology analyzer test(P<0.05).After performing peripheral blood abnormal erythrocyte morphology test,there were 93 cases(91.18%)with abnormal morphology.These included:macrocytic anemia in 5 cases,of which 3 patients were confirmed to have megaloblastic anemia,1 case of hemolytic anemia,and 1 case of acute ischemic anemia by bone marrow examination;microcytic anemia in 20 cases,all of which were iron-deficiency anemia;ependymal erythrocytosis in 13 cases;anomalous cells in 8 cases;anisotropic lymphocytes in 19 cases;plasmodium vivax in 1 case;and infections in 24 cases.Conclusions For the diagnostic of hematological diseases,the application of peripheral blood abnormal erythrocyte morphology test can improve the rate of correct diagnosis of hematological diseases,andreduce themisdiagnosis and omission of diagnosis.

关 键 词：异常红细胞 外周血 红细胞形态学 血液病 

分 类 号：R552[医药卫生—血液循环系统疾病] R446.11[医药卫生—内科学]