遗传性球形红细胞增多症长期误诊原因分析

Analysis for the cause of the misdiagnosis for eight patients with hereditary spherocytosis

目的探讨遗传性球形红细胞增多症误诊的原因,提高临床工作者对该病的认识。方法回顾性分析我科近3年确诊的遗传性球形红细胞增多症病例,并对长期误诊者的原因进行分析。结果有8例患者长期误诊为其他血液系统疾病,导致病情治疗的延误。结论正确掌握诊断要点、详细询问病史及熟练的骨髓细胞学观察可避免误诊。

Objective To explore the cause for the misdiagnosis of hereditary spherocytosis and improve the knowledge of this disease. Methods We retrospectively analyzed the cases of misdiagnosis of hereditary spherocytosis in recent three years. Results Eight cases of hereditary spherocytosis were misdiagnosed as other hematological disease for a long time, which lead to the delay of treatment. Conclusion The misdiagnosis of hereditary spherocytosis can be avoided with the correct knowledge of diagnosis, careful inquirement for medical history and skilled observation for morph of cell of the bone marrow for this disease.