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血常规指标综合分析在白血病诊断的临床应用分析
血常规指标综合分析在白血病诊断的临床应用分析
[摘要] 目的 探究在白血病筛查诊断中血常规指标综合分析的应用价值。 方法 整群选取该院2013年4月―2015年3月经该院确诊的90例白血病患者,对所有患者采取全自动血液分析仪进行血常规的检查,对患者的外周血细胞变化进行观察与分析;同时采集患者的外周血标本进行涂片染色来记录异常细胞,比较仪器检查与标本染色的结果并进行分析。结果 90例白血病患者(急性白血病患者有48例,42例患者为慢性白血病), 通过检查我们发现急性白血病患者中有30例白细胞水平升高(62.5%),45例患者血红蛋白水平下降(93.8%),血小板水平下降有46例患者(95.8%);但是慢性白血病患者中有38例患者白细胞水平升高(90.5%),血红蛋白水平下降有39例患者(92.9%),血小板水平却是上升比较多有29例患者(69.0%);而在通过仪器检测有结果的88例患者中,有79例仪器出现报警,但是其余9例没有出现报警,涂片染色却显示出异常。 结论 利用全自动血液分析仪对血常规进行综合分析不能完全准确对白血病做出诊断,只能作为筛选的一个辅助工具,因此为了避免出现漏诊,提高检验质量,必须对各种警戒标志的异常数据的血标本进行仔细涂片染色检查。
中国论文网 /6/view-7216848.htm
[关键词] 白血病;血常规;综合分析
[中图分类号] R733.71 [文献标识码] A [文章编号] 1674-0742(2016)01(a)-0065-02
Application Value of Comprehensive Analysis of Blood Routine Index in the Diagnosis of Leukaemia
WANG Zhi-wei
Clinical Laboratory, Zhengzhou traditional Chinese medicine hospital, Zhengzhou, Henan Province, 450052 China
[Abstract] Objective To study the application value of comprehensive analysis of blood routine index in the screening and diagnosis of leukaemia. Methods 90 cases of leukemia patients confirmed in our hospital from April 2013 to March 2015 were selected and given blood routine examination by automatic blood analyzer, peripheral blood cell changes of patients were observed and analyzed; peripheral blood preparation of patients was collected to record the abnormal cells by smear staining, the instrument examination results and the smear staining results were compared and analyzed. Results There were 48 cases with acute leukemia and 42 cases with chronic leukemia, the examination results showed that of the acute leukemia patients, there were 30 cases whose white blood cells level increased(62.5%),45 cases whose hemoglobin level decreased (93.8%),46 cases whose platelet level decreased (95.8%); but of the chronic leukemia patients, there were 38 cases whose white blood cell level increased (90.5%),39 cases whose hemoglobin level decreased (92.9%),29 cases whose platelet level increased(69.0%); of the 88 c
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