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骨髓血细胞形态学的检验对白血病的诊断起着独特的作用。老年人的血液病病程一般较缓慢,临床表现不典型,易被其他一些常见病的突出症状或并发症所掩盖。基层某些非血液科医生对老年人血液病往往缺乏足够重视和警惕,未能及时选择血细胞形态检查而误诊或漏诊。本文报道我院4例老年病人血液病的实验室血细胞形态学检查与诊断。一、临床资料例1,女,68岁,心悸、胸骨后痛2年余,发热尿痛2天就诊,以“泌感”收入院治疗。体检:贫血貌,浅表淋巴结不大,肝肋下2cm,脾未扪及,T38℃,P、R、BP正常,实验室检查:血象:WBC 2.2×10~9/L,分类:分叶核
The test of bone marrow blood cell morphology plays a unique role in the diagnosis of leukemia. Elderly blood disease generally slower course, atypical clinical manifestations, easy to be some other common symptoms prominent symptoms or complications covered. Some grassroots non-hematologists often lack sufficient attention and vigilance to blood diseases of the elderly, failing to timely select blood cell morphology examination and misdiagnosis or missed diagnosis. This article reports the laboratory blood cell morphology and diagnosis of blood diseases in 4 elderly patients in our hospital. First, the clinical data example 1, female, 68 years old, palpitations, sternal pain more than 2 years, 2 days of fever and painful treatment, “bleeding” income hospital treatment. Physical examination: Anemia appearance, superficial lymph nodes, liver ribs 2cm, spleen not palpable, T38 ℃, P, R, BP normal, laboratory tests: blood: WBC 2.2 × 10 ~ 9 / L, classification: nuclear