外周血三系细胞同时减少患者的骨髓象特点及其意义

The features and its significance of myelogram for the patients of simultaneous peripheral blood cell reduction

目的:探讨外周血血红蛋白(Hb)、白细胞(WBC)和血小板(BPC)三系同时减少患者的骨髓象特点及其意义。方法:对211例外周血三系细胞同时降低的患者进行骨髓穿刺涂片,行细胞形态学检查。结果:骨髓象检查能明确病因者196例,其中诊断为血液系统恶性疾病者55例(26.4%),各种贫血共107例(50.7%),脾功能亢进18例(8.5%),其它16例(7.6%);另15例骨髓无特殊改变。结论:外周血三系细胞同时减少的患者应作骨髓象检查,有助于明确病因和提高诊断水平。

Objective：To explore the features and significance of myelogram of patients with simultaneous reduction of the ternary systems i. e. peripheral blood hemoglobin （ Hb）, white blood cell （ WBC ） and blood platelet count （ BPC ）. Methods： The bone marrow punctures were made on 211 cases patients suffered from the peripheral blood ternary sorts cells simultaneous reductions to carry out the cytomorphology tests. Results：Among the 196 cases （other 15 cases＇ marrow without special changes ） which were identified with myelogram,55 cases（26.4% ） were diagnosed as malignant blood system diseases, 107 cases （50.7%） , as diverse anemia, 18 cases（ 8. 5% ） ,as hype/splenism and 16 cases（7.6% ） ,as others. Conclusions-Most cases of peripheral blood ternary sorts cells simultaneous reductions can be found in bone marrow and the myelogram changes of patients manifest diversifications. A good master of these features of changes will facilitate to assay the causes and improve the myelogram diagnostic level.