CAJ | 학술논문

目的：探讨外周血白细胞、血红蛋白及血小板三系同时减少患者的外周血和骨髓细胞形态学特点，并分析其常见疾病类型。方法对222例2005年6月至2011年2月于该院就诊的全血细胞减少患者的骨髓涂片及外周血涂片进行瑞氏染色，结合骨髓组织化学染色及患者其他相关临床资料进行疾病类型分析。结果222例全血细胞减少患者中，造血系统疾病占84．65％（188／222），非造血系统疾病占15．35％（34／222），两者比较差异有统计学意义（P ＜0．05）。150例进行外周血涂片的患者中58％的患者外周血涂片结果具有诊断价值。结论引起全血细胞减少的疾病中，常见的为造血系统疾病，但也不能忽视非造血系统疾病。外周血涂片对这类疾病的诊断具有较高价值。
목적：탐토외주혈백세포、혈홍단백급혈소판삼계동시감소환자적외주혈화골수세포형태학특점，병분석기상견질병류형。방법대222례2005년6월지2011년2월우해원취진적전혈세포감소환자적골수도편급외주혈도편진행서씨염색，결합골수조직화학염색급환자기타상관림상자료진행질병류형분석。결과222례전혈세포감소환자중，조혈계통질병점84．65％（188／222），비조혈계통질병점15．35％（34／222），량자비교차이유통계학의의（P ＜0．05）。150례진행외주혈도편적환자중58％적환자외주혈도편결과구유진단개치。결론인기전혈세포감소적질병중，상견적위조혈계통질병，단야불능홀시비조혈계통질병。외주혈도편대저류질병적진단구유교고개치。
Objective To investigate the patients′cell morphology characteristics in peripheral blood and bone marrow with the reduce of leukocyte,hemoglobin and platelet in peripheral blood,and analyze the common cause.Methods From June 2005 to Feb-ruary 2011,222 patients with pancytopenia treated in the hospital were enrolled in the study,whose peripheral blood and bone mar-row smears were stained by Wright,combined with histochemical staining and the clinical data of patients,the disease types were analyzed.Results In the 222 patients with pancytopenia,patients with hematopoietic system disease accounted for 84.65% (188/222),non-hematopoietic system disease accounted for 15.35%(34/222),the difference was statistically significant(P <0.05 ).In 150 patients whose peripheral blood smears were obseved,58% patients obtained positive results.Conclusion The diseases of hem-atopoietic system are the common cause of pancytopenia,but can not ignore the non-hematopoietic system diseases.Peripheral blood smear has a high value in the diagnosis of these diseases.