机体缺铁时对白细胞数量影响.docVIP

机体缺铁时对白细胞数量影响 　　【摘要】目的：探讨机体缺铁时对白细胞数量的影响。方法：观察本院门诊及住院病人168例小细胞低色素性贫血伴或不伴白细胞减少病人骨髓象（排除白血病，再障，巨幼贫，脾亢以及肝硬化，结核，恶性肿瘤等原因引起的白细胞减少)HB＜110G／L,其中160例白细胞减少，7例白细胞正常，1例白细胞增高。对这些病人进行常规骨髓涂片细胞形态学检验并做铁染色观察内外铁，取病人血清做铁蛋白测定。补充铁剂治疗并随访病人。结果：通过骨髓穿刺常规细胞形态学分析，这些贫血病人，骨髓有核细胞增生大都在活跃或明显活跃以上，红系明显代偿增生，幼红细胞胞体较小，浆量少，边缘不规整。粒系增生活跃，比例及形态基本正常，偶见巨杆状核，部分成熟粒细胞核染色质较为疏松。骨髓铁染色，内外铁均明显减少或消失，血清铁结合蛋白减低。结论：缺铁可以引起白细胞减少，治疗因缺铁导致的白细胞减少时应适当补充铁剂。白细胞减少症的原因非常复杂。一般认为与接触放射线，药物损害等因素有关。本文探讨机体缺铁时对白细胞数量的影响。 　　【关键词】白细胞减 少缺铁性贫血 　　 　　The influence of the dialogue cell for machine body to lack iron amount 　　Tian WenxiaZhang JieSun Runyue 　　【Abstract】Objective:The influence of the dialogue cell for study machine body to lack iron amount.Method: Observation origin hospital out-patient service and Inpatient 168 dye anemic companion with low cellule or not companion white cell decrease patient marrow elephant(expel white blood Disease, again Zhang, huge young poverty, Pi Kang and cirrhosis, tubercle, m alignant tumor etc. reason cause of white the cell reduce Little)HB＜110 G/L, 160 among those examples white cell decrease, 7 white cell normal,1 example white the cell increase Gao.To this Some patient carry on normal regulations marrow Tu2 Pian4 cell appearance to learn an examination and do an iron to dye observation inside outside iron, take patients serum to do 1000-year egg white measurement.Complement iron treatment combine with visit a patient.Result:Wear to stab normal regulations cell appearance to learn analysis through a marrow, These anemic patient, the marrow have a pit cell to increase to living mostly at active or obvious active above, red fasten obvious generation the Chang increase Living, young red cell afterbirth the body be smaller, syrup the quantity be little, edge not the rules be whole.The grain fasten to increase a life to jump and comparison and appearance be basic Normal, accidentally see a huge pole form pit, part mature grain cell nucleus dye the quality be more loose.The marrow iron dye, inside outsid