伤寒患者外周血及骨髓涂片细胞形态观察

Changes of hemogram and bone marrow in typhoid sufferers

目的 :探讨伤寒患者外周血及骨髓细胞的变化。方法 :对 70例伤寒患者进行外周血及骨髓细胞形态分析。结果 :伤寒患者血常规检查中除白细胞减少外 ,尚有血红蛋白和血小板减少 ;骨髓涂片中除有白细胞中毒改变外 ,92 .86 %伤寒患者髓片中找到印戒样组织细胞 ,与发热待查组及恶性组织细胞增生症组 (其印戒样组织细胞阳性率分别为 4.2 6 %、0 % )比较 ,差异有极显著意义 ( P <0 .0 0 1)。结论

Objective:To explore changes of typhoid sufferer in hemogram and bone marrow.Method:Analyzing hemogram and bone marrow of 70 typhoid sufferers.Result:Besides leukopenia,Hb and platelet of typhoid sufferers decreased.Most patients had poisonous granules.Histocytes were found in bone marrow of 92.86 % patients (P< 0.001 ).Conclusion:Discovery of finger ring histocytes in check of bone marrow is helpful in different diagnosis of other fever discusses.