血常规检验中形态学检查的临床应用研究

Clinical application of morphological examination in blood routine examination

目的:分析、研究血常规检验中形态学检查的临床应用价值。方法:选取血常规检验经显微镜复检的标本1 104例,总结分析其结果。结果:白血病、疑白血病或MDS、异型淋巴细胞≥10%、嗜酸粒细胞升高、嗜碱性粒细胞升高及伴有核红细胞、血小板假性异常、单核细胞升高、淋巴细胞升高、中性粒细胞毒性变化、中性粒细胞缺乏、中性粒细胞核右移、中性粒细胞核左移、红细胞伴有形态变化、其他以及无明显异常检出率分别为1.7%、1.9%、5.7%、5.5%、0.5%、14.2%、2.1%、7.5%、13.6%、22.3%、3.2%、3.1%、12.5%、16.3%、4.4%、5.2%。血细胞形态学镜检是判断血细胞形态病理变化的金标准。结论:血细胞分析仪仅可以进行查血常规检验,对于符合镜检标准的标本需进行镜检。

Objective:To analyze the clinical value of morphological examination in blood routine examination.Methods:1104cases of specimens with blood routine examination which reexamined by microscopic examination were selected.We summarizedthe results.Results:The detection rate of leukemia,suspected leukemia or MDS,abnormal lymphoid cells≥10%,eosinophilsincreased,basophils increased,accompanied by nuclear red blood cells,platelet pseudo-abnormalities,mononuclear cells,lymphocytes increased,neutrophil toxicity,neutrophil deficiency,neutrophil right shift,neutrophil left shift,erythrocyte associatedmorphological changes,other and no significant abnormalities were1.7%,1.9%,5.7%,5.5%,0.5%,14.2%,2.1%,7.5%,13.6%,22.3%,3.2%,3.1%,12.5%,16.3%,4.4%,5.2%.Morphological examination of blood cells was the gold standard for judging themorphological and pathological changes of blood cells.Conclusion:Blood cell analyzer can only screen blood routine test.Forspecimens that meet the microscopic standards,microscopic examination is required.