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目的探讨应用外周血coombs联合骨髓单个核细胞coombs检测在AIHA中的诊断应用。方法对临床怀疑为AIHA患者,同时进行外周血coombs和骨髓单个核细胞coombs检测。对象:临床怀疑为AIHA40例,正常对照组(缺铁性贫血)30例。结果临床怀疑为AIHA40例中,外周血红细胞coombs试验均阳性23例,骨髓单个核细胞的coombs试验阳性31例,而正常对照组30例均阴性。结论对临床怀疑为AIHA患者,应用外周血coombs联合骨髓单个核细胞coombs检测,二者能互补,诊断明确率明显提高,对临床诊断和治疗有一定的价值。
Objective To investigate the diagnostic value of coombs detection of coombs combined with bone marrow mononuclear cells in AIHA. Methods Patients with suspected AIHA were enrolled in coombs of peripheral blood and mononuclear cells of bone marrow. PARTICIPANTS: 40 cases were suspected as AIHA and 30 cases as normal control group (iron deficiency anemia). Results Of the 40 cases suspected of AIHA, 23 cases were positive for coombs in peripheral blood erythrocytes, 31 cases were for coombs test in bone marrow mononuclear cells, and 30 cases in normal control group were all negative. Conclusions The clinically suspected AIHA patients, coombs combined with peripheral blood mononuclear cells coombs test, both complementary, the diagnostic accuracy was significantly improved, the clinical diagnosis and treatment of some value.