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1.
肺结核患者血细胞结果特点分析   总被引:2,自引:0,他引:2       下载免费PDF全文
目的:为肺结核的诊断及观察预后提出新的思路。方法:对新住院肺结核患者的血常规标本400份及以上患者出院前血常规标本400份,使用MEK-6318K血细胞分析仪检测分析。结果:新住院400例肺结核患者中血小板计数>300×109/L的92例,占23%。92例血小板计数升高的患者中,除9例贫血患者外,83例患者中红细胞计数和血红蛋白量都不低于参考值,但红细胞计数和血红蛋白量呈现不一致性,即针对血红蛋白量而红细胞计数偏高,体现出小红细胞少量增多,这种情况在83例中所占比例为86%。出院前400例肺结核患者血小板计数>300×109/L的5例,占1.2%。结论:由于肺结核患者大多数伴有营养不良,导致造血系统功能障碍,导致小红细胞少量增多,增多的小红细胞被血细胞分析仪计数到血小板计数里,导致血小板计数偏高。这个指标在肺结核诊断中意义很大,为肺结核的诊断探索出新的思路。  相似文献   

2.
目的:用全血质控物(以下简称质控物)监测不同型号血细胞分析仪后,对比不同型号血细胞分析仪检测同一份血标本结果的差异,以及用质控物结合新鲜血监测不同型号血细胞分析仪后,对比不同型号血细胞分析仪检测同一份血标本结果的差异。方法:美国亚培公司提供的CD-1600血细胞分析仪及其配套试剂,美国库尔特公司提供的COULTER—JT血细胞分析仪及其配套试剂,检测200例4至6岁健康查体儿童血常规。结果:用质控物检测不同型号血细胞分析仪,CD-1600的检测结果:4至6岁儿童白细胞计数,淋巴细胞、中间细胞、中性粒细胞男性与女性之间无显著性差异(P〉0.05)。红细胞、血红蛋白、红细胞压积、血小板的检测结果男性与女性之间无显著性差异(P〉0.05)。COULTER-JT的检测结果:4至6岁儿童白细胞计数。淋巴细胞、中间细胞、中性粒细胞男性与女性之间无显著性差异(P〉0.05)。红细胞、血红蛋白、红细胞压积、血小板男性与女性之间无显著性差异(P〉0.05)。CD-1600与COULTER-JT比较的检测结果:4至6岁儿童男性白细胞计数、淋巴细胞、中间细胞、中性粒细胞、血小板均无显著性差异(P〉0.05)。但红细胞、血红蛋白、红细胞压积具有显著性差异(P〈0.01)。4至6岁儿童女性白细胞计数、淋巴细胞、血小板均无显著性差异(P〉0.05)。但中间细胞(0.01〉P〉0、05)中性粒细胞(P〈0.01)红细胞(P〈0.01)血红蛋白(0.01〉P〉0.05)红细胞压积(P〈0.01)均具有显著性差异。用质控物结合新鲜血监测不同型号血细胞分析仪检测结果上述各项指标均无显著性差异。结论:用质控物监测不同型号血细胞分析仪,同一份血标本不同仪器检测结果,部分指标有显著性差异,用质控物结合新鲜血监测不同型号血细胞分析仪,同一份血标本检测结果,其各项指标均无显著性差异。  相似文献   

3.
目的:探讨在经皮胆红素监测下早期蓝光干预对早产儿高胆红素血症的防治作用。方法:选择2009年10月-2011年10月我院新生儿科收治的86例出生体重≤2000g,无出生窒息史的早产儿,按住院号单双号分为观察组46例和对照组40例。对照组按照我国2000年制定的新生儿黄疸干预推荐方案的干预标准进行光疗。观察组于出现黄疸和/或经皮胆红素〉85.50μmol/L,但尚未达方案的干预标准就进行光疗,监测经皮胆红素至黄痘消失。经皮胆红素值达187.5μmol/L以上时同时查静脉血监测血清总胆红素。比较2组早产儿经皮胆红素峰值及恢复正常时间。结果:观察组与对照组比较经皮胆红素峰值较低,黄疸持续时间较短,两组比较P均〈0.05,有统计学差异。结论:早产儿在经皮胆红素监测下进行早期蓝光干预有利于降低早产儿胆红素峰值,缩短黄疸持续时间。有效预防早产儿胆红素脑病。  相似文献   

4.
目的:探讨干化学分析、UF-100尿有形成分分析与DIASYS沉渣镜检分析联合检测尿液的应用价值。方法:用尿干化学分析仪MiditronM、UF-100型尿液分析仪、DIASYS R/S 2003沉渣分析仪分别对390例随机尿液标本进行检测。结果:以DIASYSR/S 2003沉渣分析结果为标准,干化学法与DIASYS镜检法相比,测定红细胞阳性符合率为92.68%,假阳性为13.96%,假阴性为7.32%;测定白细胞阳性符合率为58.91%,假阳性为9.58%,假阴性为41.09%;UF-100与DIASYS相比,检测红细胞阳性符合率为82.93%,假阳性为7.47%,假阴性为17.07%;测定白细胞阳性符合率为81.40%,假阳性为12.26%,假阴性为18.60%;检测上皮细胞、小园上皮细胞、管型、结晶和类酵母菌阳性符合率较低,分别为69.09%、60.53%、68.18%、78.95%、57.14%。390例尿标本中干化学法白细胞、红细胞、蛋白及亚硝酸盐均阴性的176例标本中,UF-100检测红细胞阳性14例,白细胞阳性19例,DIASYS检出红细胞阳性5例,白细胞阳性11例。结论:UF-100型尿沉...  相似文献   

5.
目的:探讨脑梗死患者血浆纤维蛋白原(Human Fibrinogen,Fro)水平的改变与颈动脉粥样硬化(CAS)的关系。方法:选取2009年5月-2012年6月入住解放军八一医院神经内科脑梗死患者508例。采用彩色多普勒超声检测脑梗死患者颈内动脉颅外段(/ntemalcarotidartery,ICA)、总动脉(common carotid artery,CCA)、颈总动脉分叉处内一中膜厚度(Intima—medial Thickness,IMT)。评定标准:颈动脉IMT〉0.9toni或(和)颈动脉斑决定义为CAS。24h内将患者空腹静脉血送检,记录测定后的生化指标及№水平,记录吸烟史、糖尿痛、高血压病等病史,采用Logistic回归分析测定的相关危险因素对颈动脉粥样硬化的作用强度。结果:按FIB水平分组(FIB≤3g/L组、FIB〉3g/L组),Logistic回归分析显示FIB〉3g/L组的危险度为2.04,年龄、FIB水平、高血压病史及吸烟史对CAS有影响,差异有统计学意义(P〈0.05),其中FIB与CAS的相关性最强。结论:FIB水平与脑梗死患者CAS的发展密切相关,其作用可能强于其他的传统危险因素。  相似文献   

6.
当蒜根尖分生组织细胞在4umol/L、6umol/L、8umol/L、10umol/L微管解聚型除草剂APM处理16h后,多极分裂细胞、凝集染色体、桥一断片及微核细胞可明显被观察到.其中多极分裂细胞可分别达10.7%、10.7%、11.1%和10.0%;凝集染色体为5.5%、5.9%、7.1%和9.1%:出现桥和断片的频率为1.9%、1.8%、2.7%和5.5%;出现微核细胞的频率分别为2.8%、8.7%、12.5%和16.3%。分生组织内蛋白质组也产生了明显变化,有5个分子量和等电点分别为66kD/p16.3、48kD/p16.6、48kD/p16.9、16kD/p15.6、18kD/p15.2的蛋白质在8umol/LAPM处理的分生组织中被合成.通过MALDI—TOF—MS分析和NCBI 20070528数据库查询.其中3个新合成的蛋白质被确认,它们是S-腺苷甲硫氨酸合成酶、抗坏血酸过氧化物酶和磷酸甘油酸激酶C。染色体结构变异和蛋白质组变化被认为与APM的处理有关的.  相似文献   

7.
目的:研究s-腺苷蛋氨酸治疗胆汁淤积性肝病伴抑郁/焦虑患者的临床效果。方法:选择2011年3月-2013年3月我院收治的51例不同病因的胆汁淤积性肝病(药物性肝损害13例、慢性乙型肝硬化14例、酒精性肝硬化11例、自身免疫性肝病6例、肝癌5例、胆管癌2例)并抑郁/焦虑的患者,予s-腺苷蛋氨酸1.0g治疗2周,应用SDS/SAS量表分别评估和比较治疗前后各组患者抑郁/焦虑程度的评分情况。结果:S-腺苷蛋氨酸治疗后,所有组别胆汁淤积性肝病肝病改善的临床总有效率94.12%,其中药物性肝损害、慢性乙型肝硬化、酒精性肝硬化、自身免疫性肝硬化总有效率均为100.00%,肝癌的有效率为60.00%,胆管癌的有效率为50.00%,药物性肝损害患者临床疗效与其他各组有差异(P〈0.05);药物性肝病患者SDS和SAS评分均较治疗前显著降低(P〈0.05)。而慢性乙型肝硬化、酒精性肝硬化、自身免疫性肝病、肝癌、胆管癌患者SDS和SAS评分与治疗前相比均无统计学差异(P〉0.05)。结论:S-腺苷蛋氨酸可改善药物性胆汁淤积性肝病并轻、中度抑郁/焦虑患者的肝功能,并有效减轻其抑郁/焦虑情绪。  相似文献   

8.
目的:正确评价重组人生长激素(rhGH)治疗儿童生长激素缺乏症(GHD)的疗效。方法:GHD患儿47例,给予rhGH0.1U/(kg.d),疗程3个月,并对其疗效进行观察。结果:身高(height)由(122±17.67)cm增至(125.32±17.50)cm,生长速率(growthrate)由〈4cm/年增加到(10.40±3.74)cm/年。血清碱性磷酸酶(AKP)由(207±48.11)IU/L增至(261±45.29)IU/L。I型前胶原羧基端伸展肽(PICP)由(97.80±14.94)ng/ml增至(119.50±24.10)ng/ml值。肌酐(Cr)由(40.20±8.28)umol/L变为(36.50±8.33)umol/L值。结论:rhGH是治疗GHD有效的药物。  相似文献   

9.
目的:观察动脉全血和静脉血清钾离子浓度结果的差异。方法:76例患者同时采集动脉抗凝血气血与静脉血,用丹麦生产RADIOMETER---ABL90的全自动血气分析仪和迈瑞公司生产的迈瑞BS-820全自动生化分析仪分别测定钾离子浓度,比较两组间的差异和相关性。结果:动脉全血和静脉血清的钾离子浓度差异有显著性(P<0.01),动脉全血的钾离子浓度明显低于静脉血清,并且动脉全血和静脉血清中钾离子浓度存在着一定的线性关系[1]。结论:动脉全血中钾离子浓度不能等同于静脉血清中的钾离子浓度,根据笔者推导的直线方程:静脉血清钾离子[K+]V=0.8×动脉全血钾离子[K+]A+1.36(mmol/L),在知道动脉全血血气分析中钾离子浓度时,可以大致推算出静脉血清钾离子浓度,临床医生可用以判断患者有无钾离子异常。[2]  相似文献   

10.
酪酸梭菌活菌散治疗母乳性黄疸疗效观察   总被引:2,自引:1,他引:1  
目的观察酪酸梭菌活菌散(商品名:宝乐安)治疗母乳性黄疸的临床疗效。方法将60例母乳性黄疸的足月儿随机分为观察组30例和对照组30例。观察组在常规治疗的同时给予酪酸梭菌活菌散口服,0.5g/次,2次/d,加水2-5ml溶解口服;对照组仅常规治疗。2组均不停止母乳喂养。结果观察组胆红素日均下降值为(42.1±16.2)μmol/L,显著高于对照组的(22.6±11.2)μmol/L(P〈0.05);观察组胆红素下降至119.5μmol/L以下的天数为(4.6±1.6)d,显著短于对照组的(9.6±2.5)d(P〈0.05)。结论酪酸梭菌活菌散治疗母乳性黄疸,可迅速降低胆红素水平,缩短治疗时间。  相似文献   

11.
We developed a flow cytometric method for the enumeration and classification of nonmalignant immature granulocytes (IG). In this study, IG are defined as most immature (IG stage 1: promyelocytes and myelocytes) and as more mature (IG stage 2: metamyelocytes). Blood specimens from 46 patients with documented infectious or inflammatory disease and known presence of IG (by routine manual microscopy) were analyzed. For a reference manual differential count, we used a 400 white blood cell (WBC) differential and separated granulocytes into promyelocytes and myelocytes combined, metamyelocytes, and included band cells in the mature, segmented neutrophil population. The flow cytometric method is based on three-color staining of whole, anticoagulated blood with CD45-PerCP, CD16-FITC, and CD11b-PE-labeled monoclonal antibodies and a three-step gating procedure. The flow cytometric results were confirmed by cell sorting and microscopic evaluation of the sorted cells. A total of 10,000 events, excluding debris, were recorded per specimen and IG stage 1 (CD16-/CD11b-), IG stage 2 (CD16-/CD11b+), and mature neutrophils (CD16+/CD11b+) were categorized. Regression and correlation between flow cytometric IG and the manual differential showed y = 1.34x + 0.95, r(2) = 0.86 for IG stages 1 and 2 combined versus promyelocytes, myelocytes, and metamyelocytes. For IG stage 1 versus microscopic counts of promyelocytes and myelocytes, the results were y = 1.53x + 1.24, r(2) = 0.76; for IG stage 2 versus manual metamyelocyte count, y = 0.77x + 0.21, r(2) = 0.58. Reproducibility of the flow cytometric method showed a coefficient of variation (CV) of 6.8% for all IG combined compared with a CV of 50.2% for manual differential IG count (based on a routine 100 WBC count). Samples were found stable at least 12 h at 25 degrees C and at least 48 h at 4 degrees C for flow cytometry. After staining and lysing, the sample was stable for at least 120 min at room temperature. We analyzed samples from patients with myelodysplastic and myeloproliferative disease separately. We found that CD16- mature neutrophils falsely elevated the flow cytometric IG count. Similar results were obtained in blood from patients treated with granulocyte-colony stimulating factor (G-CSF). Although this restricts the use of the method somewhat, we believe that this flow cytometric method is useful for enumerating reactive IG, as well as for evaluating automated methods for IG identification by hematology analyzers.  相似文献   

12.
目的:探讨强心益气方联合瑞舒伐他汀治疗急性心肌梗死的临床疗效及对患者白细胞计数(WBC)、中性粒细胞比值(NEU)、肌红蛋白及C反应蛋白(CRP)水平的影响。方法:选自2014年6月~2015年12月我院收治的急性心肌梗死患者96例,随机分为观察组与对照组,每组48例。对照组采用瑞舒伐他汀治疗,观察组在对照组基础上给予强心益气方治疗。观察并比较两组患者的治疗疗效以及治疗前后心功能指标、WBC、NEU、肌红蛋白、CRP水平变化,及用药期间不良反应情况。结果:观察组治疗总有效率(89.58%)高于对照组(70.83%)(P0.05);与治疗前比较,两组LVEF、SV治疗后明显升高,而LVEDV明显降低(P0.05);观察组LVEF、SV治疗后高于对照组,而LVEDV低于对照组(P0.05);与治疗前比较,两组WBC、NEU、肌红蛋白、CRP水平治疗后明显降低(P0.05);观察组WBC、NEU、肌红蛋白、CRP水平治疗后低于对照组(P0.05);两组均未见严重不良反应。结论:强心益气方联合瑞舒伐他汀治疗急性心肌梗死患者疗效显著,可降低WBC、NEU、肌红蛋白、CRP含量,安全可靠,值得研究。  相似文献   

13.
The manual workers of the gas-and-oil extraction industry are exposed to hostile environmental and occupational conditions, resulting in elevated mortality and disability, due to chronic neurological and cardiovascular diseases. We evaluated the degree of oxidative stress, often associated with these pathological features, in the blood of manual and office employees of Russian Siberian extraction plants, and their psycho-physiological conditions. Results showed increased levels of spontaneous (p < 0.05) and PMA-activated (p < 0.01) luminol-dependent chemiluminescence (LDCL) in the white blood cells (WBC), and decreased peroxynitrite levels (p < 0.05) in the group of manual workers, and less markedly in the clerks and technicians working on spot, vs. a control group of city clerks. Superoxide release by WBC, and plasma/WBC membrane ubiquinol levels did not display major differences in the three groups. A relevant percentage of manual/office workers of extraction platforms presented impaired cardiovascular and neurological functions. The short term administration of a nutraceutical formulation based on coenzyme10, vitamin E, selenium, methionine and phospholipids led to significant improvement of cardiovascular parameters and psycho-emotional status, consistent with the normalization of LDCL and peroxynitrite production by WBC, with a good compliance to treatment confirmed by the increased blood levels of ubiquinol.  相似文献   

14.
目的建立小型猪腹壁拉链模型并对其生物学特性进行研究,为教学和科研工作的开展提供便利的研究工具。方法通过外科手术的方法将定制的生物拉链固定于小型猪体表,建立小型猪腹壁拉链模型,观察小型猪的体征和精神状态,利用全自动血液分析仪及尿液分析仪对其血液和尿液生化指标进行动态检测。结果模型建立后7-49d小型猪的活动、精神状态良好,其生理生化指标表现稳定,与对照相比无显著变化。结论本课题组建立的小型猪腹壁拉链模型建立后7-49d体征、精神状况良好,生理生化指标稳定,可以推广应用于相关的科研、教学试验。  相似文献   

15.
目的:探讨门静脉高压症脾切断流术后门静脉系统血栓形成的相关原因。方法:回顾性分析2010年4月-2011年12月我科450例因肝硬化门静脉高压症行脾切断流术患者的临床资料,应用超声多普勒检测手术前后门静脉血流速度、门静脉直径及脾静脉、肠系膜上静脉、门静脉血栓情况,用Logistic回归分析术前肝功能Child-Pugh分级、门静脉直径、门静脉血流速度、脾脏的质量及术后血小板数量与门静脉系统血栓形成的关系。结果:术前门静脉系统有血栓患者75例,占16.7%。术后门静脉血栓再形成率52.9%。Logistic单因素分析提示门静脉系统血栓形成与门静脉内径、门静脉血流速度、脾脏质量、血清总胆红素、术后血小板数量有关。多因素分析发现门静脉系统血栓形成与门静脉内径、门静脉血流速度、脾脏质量有关,而与血清总胆红素、术后血小板数量无关。结论:肝硬化门静脉高压症脾切除术后门静脉系统血栓形成与门静脉内径、门静脉血流速度、脾脏质量有关。  相似文献   

16.
In cerebrospinal fluid (CSF) analysis, hematology analyzers (HAs) Sysmex? XT-4000i and XE-5000, equipped with flow cytometry (FCM), were used to count cells and differentiate leukocytes into mononuclear and polymorphonuclear cells (MNCs, PMCs) applying body fluid mode. FCM was evaluated with 20 DGKL CSF controls containing viable human leukocytes and erythrocytes. HA values were compared with reference values by Passing/Bablok regression analysis to reveal conformity. Conformity of white blood cells (WBCs) was obtained with native leukocytes, counted in calibrated Fuchs-Rosenthal chamber as reference; red blood cell counts proved inaccurate. CV <40% with WBC counts <20 per μL impairs accuracy. Reference WBC differentiation was assayed using FACS Canto II? and FC-500 SN with anti-CD45, anti-CD14, anti-CD16, anti-CD16/56 [Becton Dickinson (BD); Beckman Coulter (BC)]. BD FACS lysing solution?-no-wash-procedure was applied. BC pretreatment with Versalyse lysing solution was not recommended. MNCs (lymphocytes + monocytes) were significantly lower (~14%) on both HAs; PMCs (granulocytes or sum of neutrophils + eosinophils + basophils: range 1-86 M/L) were significantly higher (~2.2-fold). WBC HA differentiation is not reliable because MNC/PMC differentiation yielded lower and higher values than FACS-FCM references, respectively. This is attributed to incorrect discrimination of leukocytes with rounded/nonrounded nuclei; adding leukocytes with nonrounded nuclei to too low HA MNCs (about 40% not-activated) yielded P/B conformity; subtraction of leukocytes with nonrounded nuclei from elevated HA PMCs showed conformity (about 85% activated). Nucleus/activation state of leukocytes was assessed using microhistology. Sysmex XT-4000i and XE-5000 HAs systems are inappropriate for complete CSF cell analysis.  相似文献   

17.
Sprague-Dawley rats (10 each of male and female per group for sham and magnetic field exposed) were exposed in a carrousel irradiator to 20 kHz intermediate frequency (IF) magnetic field at 6.25 microT rms for 8 h/day, 5 days/week for 90 days. Urine analysis (pH, serum glucose, protein, ketone bodies, RBC, WBC, bilirubin, urobilinogen, and specific gravity), blood analysis [WBC, RBC, hemoglobin, hematocrit, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), thrombocyte count, and leucocyte count], blood biochemistry (total protein, blood urea nitrogen, creatinine, glucose, total bilirubin, total cholesterol, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, and lactate dehydrogenase), and histopathological analysis for organs such as liver, kidney, testis, ovary, spleen, brain, heart, and lung were performed on day 90. Results showed no significant differences in the above analyses between IF magnetic field exposed and sham control rats. Therefore, we conclude that there were no significant toxicities in rats exposed to 20 kHz IF triangular magnetic field-exposure for 90 days.  相似文献   

18.
目的:探讨血清胆红素以及尿酸的水平对重症肌无力患者的临床价值。方法:选取我院确诊的重症肌无力患者作为实验组, 另选择同期体检的健康志愿者作为对照组。检测并比较两组血清直接胆红素(DBIL)、间接胆红素(IBIL)、总胆红素(TBIL)、尿酸 (UA)及肌酐(Cr)等指标水平。结果:实验组血清DBIL、IBIL、TBIL、UA 水平均显著低于对照组,差异有统计学意义(P<0.05),但实 验组不同类型的MG 患者血清DBIL、IBIL、TBIL、UA水平比较差异均无统计学意义(P>0.05)。同组男性DBIL、IBIL、TBIL、UA值 均明显高于女性,差异具有统计学意义(P<0.05);两组间相同性别比较,实验组DBIL、IBIL、TBIL、UA 均低于对照组,差异有统计 学意义(P<0.05)。结论:检测血清BIL 和UA水平对诊断重症肌无力具有一定的参考价值。  相似文献   

19.
BACKGROUND: The total nucleated cell (TNC) content of umbilical cord blood (UCB) units currently serves as the most important measure for determining suitability for transplantation. Hence it is important that TNC measurements are performed in an accurate manner. TNC content is evaluated routinely by hematology analyzers (HA) as WBC counts. The objective of the study was to compare TNC content utilizing two different HA, one utilizing an impedance channel and optical channel, and the other using only an optical channel. METHODS: The HA utilized in this study used two different modes of operation for lysis, regular mode (RM) and extended lysis mode (ELM). Cell-Dyn 3200 (CD3.2) utilizes optical technology for WBC measurements, involving WBC optical count (WOC) and nuclear optical count (NOC), whereas the Cell-Dyn 3700 (CD3.7) utilizes both the impedance (WIC) and optical technology (WOC) for WBC measurements. TNC content was determined with 17 identical samples using CD3.2 in one laboratory and CD3.7 in the other laboratory. Cord blood samples processed to concentrate nucleated cells by either of the laboratories were sent by overnight courier and assays were performed on the same day by both laboratories. RESULTS: For CD3.7, the WOC values were consistently lower than the WIC using the regular mode, but showed no significant differences (P>0.05). The WIC and WOC values were comparable on using the ELM and RM. For CD3.2, WOC values using RM and NOC values using ELM showed no significant differences (P>0.05), even though the WOC measurement was lower than the NOC values for most samples. The best comparison of TNC measurement between the two HA could be achieved by comparing CD3.7-WIC with CD3.2-NOC values. The results were equivalent (P>0.05) and 12 of 17 samples had equal to or less than 10% difference (mean 9.5%). DISCUSSION: TNC measurements of UCB samples were essentially identical using the WIC channel of the Cell-Dyn 3700 and the NOC channel of the Cell-Dyn 3200.  相似文献   

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