一位患有高度怀疑的B细胞淋巴瘤的患者伴随着红细胞冷凝结:病例报告
Huijun Lin1, Dujin Feng, Shuting Tao
1Laboratory Medicine Center, Department of Clinical Laboratory, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China.
Medicine
|June 23, 2023
概括
冷凝结,一种影响红细胞 (RBC) 的疾病,可能是由B细胞淋巴瘤引起的. 将血液样本加热至37°C纠正了异常的全血细胞计 (CBC) 参数,有助于诊断.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
背景情况:
- 与B细胞淋巴增殖性疾病相关的冷凝素,在低温下导致红细胞 (RBC) 凝结.
- 红细胞冷凝结会导致全血细胞计 (CBC) 参数的严重异常.
研究的目的:
- 在老年患者中报告严重的红细胞冷凝和贫血病例.
- 调查观察到的血液学异常的根本原因.
主要方法:
- 一个患有传染性发烧,贫血和CBC参数异常的患者呈现出类似沙子的血液外观.
- 血液样本在37°C时进行化,以验证冷凝和纠正CBC结果.
- 对外围血液和骨髓涂抹的显微镜检查,以及流细胞计,确定了异常的B淋巴细胞.
主要成果:
- 红细胞冷凝结被证实是异常CBC参数的原因.
- 病人被诊断出患有高度怀疑的B细胞淋巴瘤,被确定为潜在原因.
结论:
- 这一案例凸显了识别和解决红细胞冷凝固的重要性.
- 显微镜观察对于识别冷凝结的潜在原因至关重要,例如B细胞淋巴瘤.
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