摘要
目的为了提高临床医生及检验人员对遗传性球形红细胞增多症的认识,减少漏诊、误诊,提高诊治水平。方法回顾性分析该院确诊的4例遗传性球形红细胞增多症患者资料,并对其误诊原因进行分析。结果 4例患者被误诊为珠蛋白生成障碍性贫血(又称地中海贫血)2例,溶血性贫血1例,血红蛋白病1例。结论正确掌握诊断要点、加强检验与临床的沟通交流、重视显微镜下红细胞形态检查及高水平的血细胞形态学诊断能力是减少漏诊、误诊、提高诊断正确率的重要手段。
Objective To increase the recognition of the clinicians and laboratorians to hereditary spherocytosis for reducing the misdiagnosis and missed diagnosis,and improving the diagnostic level.Methods The data in 4cases of definitely diagnosed hereditary spherocytosis in our hospital were retrospectively analyzed,and the misdiagnosis reasons were analyzed and summarized.Results In 4cases,2cases were misdiagnosed as Mediterranean anemia,1case was misdiagnosed as hemolytic anemia and 1case as hemoglobin disease.Conclusion Correctly mastering the key points of the diagnosis,strengthening the communication between the laboratorians and clinicians,paying attention to the red blood cells morphologic examination under microscope and high level diagnosis ability of blood cell morphology are the important means to reduce the misdiagnosis and missed diagnosis and improve the diagnostic accuracy rate.
出处
《国际检验医学杂志》
CAS
2015年第24期3581-3582,3585,共3页
International Journal of Laboratory Medicine
