摘要
目的分析评估骨髓细胞学检查在贫血病因诊断中的价值。方法选择近两年该院收治的183例贫血待诊并做了骨髓穿刺检查的患者,具体的选择时间为2017年1月—2019年1月,对患者的资料进行回顾分析。结果在183例贫血病待检查患者中,原始细胞数量超过30%患上白血病的共有30例,铁粒幼红细胞不超过15%且细胞外铁呈现消失状态患上缺铁性贫血的有68例,中、晚幼红细胞比例明显增高状态患上溶血性贫血的有18例,中毒颗粒、空泡较为明显,粒红比呈现增高状态患上病原微生物感染性贫血的有17例,幼红细胞呈巨幼变,成熟红细胞体积变大状态下患者的巨幼细胞性贫血有6例,骨髓增生能力低下,造血细胞明显减少患上再生障碍性贫血的5例,骨髓中多成熟淋巴细胞患上慢性淋巴细胞白血病的有4例,出现瘤细胞患上转移癌的有1例,还有34例患者的髓片及血片在显微镜下没有发现形态特异性变化。结论骨髓细胞学检测度虽然有一定的局限性,不能完全的检测出贫血的病因,但就目前的临床技术来看,骨髓细胞学检测是确定患者贫血原因的有效途径和方法,在血常规的检测中可以发现早期的贫血,在发现之后可以利用骨髓细胞学检测进一步的确定患者的病因还有类型,让患者能够早日恢复健康,其价值是比较突出的,值得临床推广使用。
Objective To evaluate the value of bone marrow cytology in the diagnosis of anemia.Methods A total of 183 patients with anemia who were admitted to our hospital in the past two years and who underwent bone marrow puncture were selected.The specific selection time was from January 2017 to January 2019,and the patient’s data were retrospectively analyzed.Results Among the 183 patients with anemia who were to be examined,there were 30 cases of blasts with more than 30%of leukemia,no more than 15%of iron red blood cells,and 6 cases of iron deficiency anemia.The proportion of middle and late erythrocytes was significantly increased.There were 18 cases of hemolytic anemia.The poisonous granules and vacuoles were more obvious.There were 17 cases of pathogenic microbial anemia caused by increased redness and redness.Young red blood cells were giant.In younger age,there are 6 cases of megaloblastic anemia in patients with mature red blood cells.The bone marrow proliferative ability is low,hematopoietic cells are sig-nificantly reduced in 5 cases of aplastic anemia,and multiple mature lymphocytes in the bone marrow are chronic lymphoid.There were 4 cases of cell leukemia,1 case of tumor cells with metastatic cancer,there were 34 patiehts whose medullary and blood slices had no morphological specific changes under the microscope.Conclusion Although the detection of bone marrow cytology has certain limitations,it cannot completely detect the cause of anemia.However,according to the current clinical technology,bone marrow cytol-ogy is an effective way and method to determine the cause of anemia in patients.Early anemia can be found in the test.After the dis-covery,bone marrow cytology can be used to further determine the cause and type of the patient,so that the patient can recover health as soon as possible.The value is more prominent and worthy of clinical promotion.
作者
徐开忠
XU Kai-zhong(Wenshan People's Hospital of Yunnan Province,Wenshan,Yunnan Province,663000 China)
出处
《世界复合医学》
2020年第1期110-112,共3页
World Journal of Complex Medicine
作者简介
徐开忠(1983-),男,云南马关人,本科,主管检验师,主要从事临床血液细胞学检验工作。
