血细胞形态学观察对常见血液病诊断的意义分析.pdfVIP

中国当代医药 2015 年 12 月第 22 卷第 36 期 ·检验医学· 血细胞形态学观察对常见血液病诊断的意义分析 陈雪梅 江西新余市妇幼保健院检验科，江西新余 338025 [摘要]目的分析血细胞形态学观察对诊断常见血液病的意义。方法以我院 2012 年 1 月 -2013 年 6 月收治的 120 例行血常规检查的患者为研究对象，所有患者行血细胞分析仪检查，同时取患者血象标本进行血细胞形态学 显微镜复检。观察血细胞分析仪提示异常与血细胞形态学显微镜复检异常的符合率·对比分析血细胞形态学与 血液分析仪对淋巴细胞形态进行检查的结果;统计血细胞形态学镜检与血细胞分析仪诊断血液疾病的真阳性 率。结果本组 120 例患者血细胞分析仪提示异常者与血细胞形态学显微镜复检异常者的符合率为 72.50%;在 异常血小板、幼红细胞及异常淋巴细胞的观察方面，血细胞形态学显微镜复检显示异常率高于血细胞分析仪提 示异常率(P0.05) 。血液分析仪检测不能准确判断淋巴细胞形态，且无法显示幼稚淋巴细胞。在诊断贫血和感染 发热方面，血细胞分析仪诊断准确率较高;但在诊断白血病和血小板疾病方面，准确率较细胞形态学镜检低(P 0.05) 。结论血细胞分析仪对形态异常细胞有较好的筛查功能而对细胞形态的观察及白血病、血小板疾病的 诊断需配合血细胞形态学观察才能提高疾病诊断的真阳性率。 [关键词]常见血液病;血细胞形态学观察;血液分析仪检测;诊断 [申圈分类号] R446.11 [文献标识码] A [文章编号] 1674-4721 (2015)12(c)-0100-03 Meaning analysis of blood cell morphological observation to the common blood disease diagnosis CHEN Xue-mei Clinical Laboratory ,Matemal and Child Care Service Centre of Xinyu City in Jiangxi Province ,Xinyu 338025,China [Abstract] Objective To analyze the meaning of blood cell morphological observation to the common blood disease diagnosis. Methods 120 patients who conducted blood routine examination from January 2012 to June 2013 of our hospital wer~ selected as study object.Blood cell analyzer-examination was conducted for all patients.At the same time , blood cell morphology microscope reinspection was conducted by getting blood specimens of patients.True positive rate of blood cell morphology microscope examination and blood cell analyzer diàgnosed blood disease were counted. Re- sults BloOO cell analyzer showed that the coincidence rate between abnormal and blood cell morphology microscope reinspection abnormal was 72.50;毛 in 120 patients.On the observation of