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XE-2100血液分析仪计数嗜碱性粒细胞假性增高原因分析 被引量:3
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作者 任朝翔 吴茅 +2 位作者 俞雅瑶 盛礼建 蒋锦文 《医学理论与实践》 2014年第22期3057-3058,共2页
目的:分析XE-2100全自动血液分析仪计数嗜碱性粒细胞部分标本出现假性增高的影响原因。方法:用XE-2100随机筛选出有嗜碱性粒细胞结果增高的标本100例,按全国临床检验操作规程制作血涂片,染色并油镜分型(Downey法)后分析结果。结果:复检... 目的:分析XE-2100全自动血液分析仪计数嗜碱性粒细胞部分标本出现假性增高的影响原因。方法:用XE-2100随机筛选出有嗜碱性粒细胞结果增高的标本100例,按全国临床检验操作规程制作血涂片,染色并油镜分型(Downey法)后分析结果。结果:复检后发现24例标本嗜碱性粒细胞真性增高,76例标本嗜碱性粒细胞假性增高。76例假性增高标本中发现其中42例由于异型淋巴细胞增多引起;21例标本由于粒系中毒性变明显、退行性变引起;13例标本由于幼粒细胞出现引起。嗜碱性粒细胞计数比例>1%经手工分类具有统计学意义(P<0.01)。结论:发现嗜碱性粒细胞假性增高大于真性增高,假性增高标本中由于异型淋巴细胞增多引起假阳性最为常见,所以当嗜碱性粒细胞增高时必须经手工镜检复查,把正确结果及时反馈于临床。 展开更多
关键词 XE-2100血液分析仪 嗜碱性粒细胞 异型淋巴细胞 中毒性粒细胞 粒细胞
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中性脂肪沉积症伴肌病患者的外周血细胞形态特点并文献复习
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作者 邢莹 普程伟 +1 位作者 尚柯 屈晨雪 《中国全科医学》 CAS 北大核心 2022年第24期3065-3069,共5页
背景中性脂肪沉积症伴肌病(NLSDM)起病隐匿、症状缺乏特异性,由于患者临床表现不同,可能就诊于神经科、心血管疾病科等多个科室,容易导致漏诊和误诊。其明确诊断有赖于基因检测,但多数患者由于不能及时明确诊断而延误治疗。此类患者外... 背景中性脂肪沉积症伴肌病(NLSDM)起病隐匿、症状缺乏特异性,由于患者临床表现不同,可能就诊于神经科、心血管疾病科等多个科室,容易导致漏诊和误诊。其明确诊断有赖于基因检测,但多数患者由于不能及时明确诊断而延误治疗。此类患者外周血白细胞具有典型的形态学特征,可提示临床医生及时完善基因检测以明确诊断。目的探讨NLSDM患者的外周血细胞形态特点。方法选取2021年6—8月北京大学第一医院收治的3例NLSDM患者为研究对象,收集患者外周血并制备血涂片,分别采用瑞-姬氏染色、中性粒细胞碱性磷酸酶染色(NAP)、髓过氧化物酶染色(MPO)和糖原染色(PAS)观察血细胞形态特点。结果瑞-姬氏染色:中性粒细胞、嗜酸粒细胞、嗜碱粒细胞及单核细胞胞质中均可见数个大小不一的圆形空泡。NAP染色:NLSDM患者的中性粒细胞胞质中呈阴性反应,与正常人和感染患者差异明显,感染患者阳性率和积分值均明显增高;MPO染色:NLSDM患者的中性粒细胞胞质中呈阳性反应,与正常人的中性粒细胞阳性程度接近,但弱于感染患者(阳性颗粒粗大并覆盖在细胞核上,导致细胞核结构不清);PAS:NLSDM患者、正常人及感染患者的中性粒细胞阳性反应程度均未见明显差异。结论NLSDM患者外周血多种白细胞胞质中均可见大小不等的空泡,而中性粒细胞空泡与感染时的中毒性改变不同,通过NAP可对其初步鉴别,这种形态学异常是NLSDM的特征性改变。 展开更多
关键词 脂质贮积病 性脂肪沉积症伴肌病 粒细胞毒性改变 粒细胞碱性磷酸酶染色
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Experimental infection of tree shrews(Tupaia belangeri) with Coxsackie virus A16 被引量:16
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作者 Jian-Ping LI Yun LIAO +5 位作者 Ying ZHANG Jing-Jing WANG Li-Chun WANG Kai FENG Qi-Han LI Long-Ding LIU 《Zoological Research》 CAS CSCD 北大核心 2014年第6期485-491,共7页
Coxsackie virus A16(CA16) is commonly recognized as one of the main human pathogens of hand-foot-mouth disease(HFMD). The clinical manifestations of HFMD include vesicles of hand, foot and mouth in young children and ... Coxsackie virus A16(CA16) is commonly recognized as one of the main human pathogens of hand-foot-mouth disease(HFMD). The clinical manifestations of HFMD include vesicles of hand, foot and mouth in young children and severe inflammatory CNS lesions. In this study, experimentally CA16 infected tree shrews(Tupaia belangeri) were used to investigate CA16 pathogenesis. The results showed that both the body temperature and the percentages of blood neutrophilic granulocytes / monocytes of CA16 infected tree shrews increased at 4-7 days post infection. Dynamic distributions of CA16 in different tissues and stools were found at different infection stages. Moreover, the pathological changes in CNS and other organs were also observed. These findings indicate that tree shrews can be used as a viable animal model to study CA16 infection. 展开更多
关键词 Coxsackie virus A16 INFECTION Tree shrew
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G-CSF in Peg-IFN induced neutropenia in liver transplanted patients with HCV recurrence 被引量:1
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作者 Francesca Lodato Francesco Azzaroli +6 位作者 Maria Rosa Tamè Maria Di Girolamo Federica Buonfiglioli Natalia Mazzella Paolo Cecinato Enrico Roda Giuseppe Mazzella 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第43期5449-5454,共6页
AIM:To evaluate the efficacy of granulocyte colony stimulating factors(G-CSF)in liver transplanted patients with hepatitis C(HCV)recurrence and Pegylated-IFN α-2b induced neutropenia,and to evaluate the impact of G-C... AIM:To evaluate the efficacy of granulocyte colony stimulating factors(G-CSF)in liver transplanted patients with hepatitis C(HCV)recurrence and Pegylated-IFN α-2b induced neutropenia,and to evaluate the impact of G-CSF administration on virological response. METHODS:Sixty-eight patients undergoing antiviral treatment for post-liver transplantation(OLT)HCV recurrence were enrolled.All patients developing neutropenia received G-CSF. RESULTS:Twenty three(34%)received G-CSF.Mean neutrophil count at the onset of neutropenia was 700/mmc(range 400-750/mmc);after 1 mo of G-CSF it increased to 1210/mmc(range 300-5590/mmc) (P<0.0001).Three patients did not respond to G-CSF. Treatment duration was similar in neutropenic and non-neutropenic patients.No differences in the rate of discontinuation,infections or virological response were observed between the two groups.G-CSF was protective for the onset of de novo autoimmune hepatitis(P<0.003). CONCLUSION:G-CSF administration is effective in the case of Peg-IFN induced neutropenia increasingneutrophil count,prolonging treatment and leading to sustained virological response(SVR)rates comparable to non-neutropenic patients.It prevents the occurrence of de novo autoimmune hepatitis. 展开更多
关键词 Granulocyte colony stimulating factors Liver transplantation Hepatitis C virus recurrence Antiviral treatment
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Prolongation of functional life-span of neutrophils by recombinant verotoxin 2
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作者 刘佳佳 何延正 +4 位作者 何涛 张忠杰 赤星透 近藤启文 钟森 《Chinese Medical Journal》 SCIE CAS CSCD 2002年第6期900-903,共4页
OBJECTIVE: Verotoxin-producing Escherichia coli (VTEC) strains of serotype O157 : H7 have been implicated in a wide spectrum of diseases, including blood diarrhea, hemorrhagic colitis and hemolytic uremic syndrome (HU... OBJECTIVE: Verotoxin-producing Escherichia coli (VTEC) strains of serotype O157 : H7 have been implicated in a wide spectrum of diseases, including blood diarrhea, hemorrhagic colitis and hemolytic uremic syndrome (HUS). To further explore the pathological role of verotoxin (VT) in HUS and other VTEC associated diseases, we investigated the effects of recombinant verotoxin 2 (rVT2) on the biological activity of neutrophils. METHODS: The technique of flow cytometry, a fluorescent probe 2,7-bis-(2-carboxyethyl)-5-(and-6)-carboxyfluorescein acetoxymethyl ester (BCECF/AM), and the assay of reduced cytochrome c to detect superoxide production were used in this study. RESULTS: gammaVT2 significantly inhibited spontaneous apoptosis in neutrophils. Neutrophils with prolonged survival due to gammaVT2 maintained various biological functions, such as the expression of adhesion molecules (shading CD62L and raising CD11b/CD18), adherence to human umbilical vein endothelial cells (HUVECs), and generation of superoxide (O(2)(-)). CONCLUSION: Prolongation of the functional life-span of neutrophils by gammaVT2 may accelerate inflammatory responses at sites of inflammation. This may play a crucial role in neutrophil-mediated tissue injury in HUS and other VTEC-associated diseases. 展开更多
关键词 Apoptosis Cell Adhesion Endothelium Vascular Humans NEUTROPHILS Recombinant Proteins Shiga-Like Toxin II SUPEROXIDES
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