摘要
目的通过对黑热病误诊、漏诊病例的分析,探讨骨髓细胞形态检查对黑热病的病原学诊断价值。方法回顾分析2011-2013年我院确诊的3例黑热病患者的病历资料,患者在外院误诊、漏诊,转诊我院后行骨髓细胞形态检查而及时得到确诊。结果 3例行骨髓穿刺检查,在网状细胞内及骨髓细胞间发现大量利什曼原虫,确诊为黑热病,及时转诊行专科治疗。结论黑热病临床表现无明显特异性,极易误诊、漏诊,细致的骨髓细胞形态检查对该疾病的病原学诊断具有重要的意义。
Objective To study the role of bone marrow cell morphology in diagnosis of Kala-azar by analyzing its misdiagnosis and missed diagnosis.Methods Clinical data about 3 kala-azar patients admitted to our hospital from 2011 to 2013 were retrospectively analyzed.Results Bone marrow puncture showed a large number of Leishmania in reticular and bone marrow cells from 3 patients who were thus diagnosed with kala-azar and treated.Conclusion The non-specific clinical manifestations of kala-azar are easy to lead to its misdiagnosis and missed diagnosis.Careful bone marrow cell morphology examination plays an important role in its etiological diagnosis.
出处
《解放军医学院学报》
CAS
2014年第6期627-629,共3页
Academic Journal of Chinese PLA Medical School
基金
解放军总医院临床科研扶持基金临床特色优势技术项目(2012FC-TSYS-3051)
