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2016-09-04 发布于河南
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bone marrow-1课件.ppt

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Cytological Examination of Bone Marrow 刘运芳E-mail: liuyf@sdu.edu.cn Contents Generation, growth regularity Morphology characteristics of hematocytes Erythrocyte series Erythrocyte series Erythrocyte series Erythrocyte series Granulocyte series Granulocyte series Granulocyte series Granulocyte series Granulocyte series Granulocyte series Granulocyte series Granulocyte series Lymphocyte series Monocyte series Plasmacyte series Megakaryocyte series Megakaryocyte series Megakaryocyte series Megakaryocyte series Megakaryocyte series Other cells Contents Contents,method and clinical significance of cytomorphologic examination of bone marrow Methods of lens examination Methods of lens examination Active proliferation ( Normal ) Extreme hyperplasia Hyperplasia Hypoplasia Extreme hypoplasia Methods of lens examination Normal myelogram(MG) Clinical Significance ★综合临床资料及血、骨髓涂片所见，提出形态学诊断意见确定性诊断白血病、多发性骨髓瘤、巨幼细胞性贫血等符合性诊断缺铁性贫血、原发性血小板减少性紫癜等描述性诊断增生性贫血、感染性骨髓象、大致正常骨髓象 Contents Cytochemical staining of hematocyte peroxidase （ POX） neutrophil alkaline phosphatase ( NAP) Iron stain Periodic acid-Schiff s reaction (PAS) POX NAP Iron stain(extracellular iron） Iron stain(intracellular iron) 1.正常铁粒幼红细胞 2.环状铁粒幼红细胞 What did we learn? Generation, growth regularity and morphology characteristic of hematocyte Contents,method and clinical significance of bone marrow examination Cytochemical staining of hematocyte Thank you! Methods of lens examination Normal myelogram Clinical significance of results Blood smear examination Write examination reports Low power lens examination Oil immersion lens examination Low power lens examination Quality of bone marrow smear Proliferative degree of bone marrow Megakaryocyte Unusual cells Proliferative degree of bone marrow Degree Nucleated : Mature Erythrocyte Diseases Extreme hyperplasia 1:1 leukemia Hyperplasia 1:10