[1]尤婷玉.血常规检验中血细胞形态学检查在发热患者病因诊断中的应用价值[J].医学信息,2021,34(12):176-178.[doi:10.3969/j.issn.1006-1959.2021.12.048]
　YOU Ting-yu.The Application Value of Blood Cell Morphology in Routine Blood Test in the Diagnosis of the Etiology of Fever Patients[J].Medical Information,2021,34(12):176-178.[doi:10.3969/j.issn.1006-1959.2021.12.048]
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血常规检验中血细胞形态学检查在发热患者病因诊断中的应用价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年12期
页码:
176-178
栏目:
诊疗技术
出版日期:
2021-06-15

文章信息/Info

Title:
The Application Value of Blood Cell Morphology in Routine Blood Test in the Diagnosis of the Etiology of Fever Patients
文章编号:
1006-1959（2021）12-0176-03
作者:
尤婷玉
（大连辽漁医院检验科，辽宁 大连 116113）
Author(s):
YOU Ting-yu
(Department of Laboratory Medicine,Dalian Liaoyu Hospital,Dalian 136021,Liaoning,China)
关键词:
血常规检验; 细胞形态学检查; 发热; 病因诊断
Keywords:
Routine blood test; Cell morphology examination; Fever; Etiological diagnosis
分类号:
R446.11
DOI:
10.3969/j.issn.1006-1959.2021.12.048
文献标志码:
A
摘要:
目的 探讨血常规检验中血细胞形态学检查在发热患者病因诊断中的应用价值。方法 选取2019年8月~2020年8月我院收治的120例发热患者为研究组，另选择同期120例正常体检者为对照组，比较两组血细胞形态学检查结果，分析血细胞形态学检查在发热患者病因诊断中的应用价值。结果 研究组白细胞变化、异型淋巴细胞、小细胞性贫血、大细胞性贫血、异常细胞发生率及HCT、RDW-SD、MCHC均高于对照组，差异有统计学意义（P＜0.05）；120例发热患者中，感染性发热患者89例，非感染性发热患者31例，感染性发热患者异型淋巴细胞发生率高于非感染性发热患者，差异有统计学意义（P＜0.05），白细胞变化、小细胞性贫血、大细胞性贫血、异常细胞发生率及HCT、RDW-SD、MCHC比较，差异无统计学意义（P＞0.05）；89例感染性发热患者中，细菌性感染51例，病毒性感染38例，细菌性感染患者白细胞变化发生率高于病毒性感染患者，异型淋巴细胞发生率低于病毒性感染患者，差异有统计学意义（P＜0.05），小细胞性贫血、大细胞性贫血、异常细胞发生率及HCT、RDW-SD、MCHC比较，差异无统计学意义（P＞0.05）。结论 血常规检验中血细胞形态学检查对发热患者的病因诊断具有重要意义，能为临床医务人员提供有效的参考，从而及早诊断，提高治疗的有效性。
Abstract:
Objective To explore the application value of blood cell morphology in routine blood tests in the diagnosis of the etiology of patients with fever.Methods 120 patients with fever admitted to our hospital from August 2019 to August 2020 were selected as the study group, and 120 patients with normal physical examination during the same period were selected as the control group.Compare the results of blood cell morphology examination between the two groups, and analyze the application value of blood cell morphology examination in the etiological diagnosis of fever patients.Results The changes of white blood cells, atypical lymphocytes, small cell anemia, macrocytic anemia, abnormal cell incidence, HCT, RDW-SD, and MCHC in the study group were all higher than those in the control group,the difference was statistically significant(P＜0.05);Among the 120 fever patients, 89 were infectious fever patients and 31 non-infectious fever patients. The incidence of atypical lymphocytes in infectious fever patients was higher than that in non-infectious fever patients,the difference was statistically significant (P＜0.05).Leukocyte changes, small cell anemia, macrocytic anemia, the incidence of abnormal cells and HCT, RDW-SD, MCHC, the difference was not statistically significant (P＞0.05);Among the 89 patients with infectious fever, 51 were bacterial infections and 38 were viral infections. The incidence of leukocyte changes in patients with bacterial infection was higher than that of patients with viral infections, and the incidence of atypical lymphocytes was lower than that of patients with viral infections,the difference was statistically significant (P＜0.05),there was no statistically significant difference in the incidence of small cell anemia, macrocytic anemia, abnormal cells and HCT, RDW-SD, and MCHC (P＞0.05).Conclusion The morphological examination of blood cells in routine blood tests is of great significance for the diagnosis of the etiology of patients with fever, and can provide effective reference for clinical medical staff, so as to diagnose early and improve the effectiveness of treatment.

参考文献/References:

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更新日期/Last Update: 1900-01-01