105例儿童血液病的骨髓细胞学检查

Bone Marrow Cytological Examinations of 105 Cases of Childhood Hematonosis

目的探讨儿童血液病的骨髓细胞学检查结果。方法选取我院收治的105例儿童血液病患者进行研究,所有患儿均进行骨髓细胞学检查,并对其检查结果进行回顾性分析。结果本组105例患儿的疾病种类以巨核细胞与血小板疾病为主,占41.0%,其次为红细胞系统疾病与白细胞系统疾病,分别占30.5%、24.8%;本组患儿临床表现以肝大、出血症状、发热、贫血等为主,分别占44.8%、40.0%、37.1%、34.3%;另可见脾大、淋巴结肿大、胸骨压痛、头晕无力等症状,分别占27.6%、24.8%、6.7%、1.9%。结论临床上加强对细胞学检查的重视对于提高血液病诊断效果有重要帮助,在血小板疾病诊断中价值显著,可推广应用。

Objective To investigate the results of bone m a r r o w cytological examination in children with hematological diseases. Methods A total of 105 children with hematological diseases admitted to our hospital were enrolled into this study.All the children underwent bone marrow cytological examination and the results were retrospectively analyzed. Results T h e predominant diseases of the group were megakaryocyte and platelet disease which accounted for 41. 0% and followed by eryth-rocyte system disease and leukocytosis, accounting for 30. 5% and 24. 8 % , respectively. T h e clinical manifestations of this group were hepatomegaly, bleeding, fever, anemia and so on, accounting for 44. 0% , 40. 0% , 37. S% , 34. 3 % , respective-ly. The other symptoms included splenomegaly, lymph node enlargement, sternal tenderness, dizziness and weakness which accounted for 27. 6 %？ 24. 8 %, 6.7%, 1. 9%, respectively. Conclusion T h e emphasis on cytological examination in clinical practice is of great help to improve the diagnosis of hematological diseases. It is of great value in the diagnosis of platelet dis-ease and worthy of promotion.