蓝绿色的中性友好性包容体与并发性肝衰竭作为即将死亡的预测因素
Antonio Sierra Rivera1, María García Valdelvira2, María A Elia Martínez1
1Servicio de Análisis Clínicos Consorcio Hospital General Universitario de Valencia, Valencia, Spain.
Advances in laboratory medicine
|June 26, 2023
概括
在外围血液涂抹中观察到的白细胞中的蓝绿色细胞质内含,可能表明严重疾病和不良预后,特别是在急性肝衰竭和乳酸性酸性病症患者中.
科学领域:
- 血液学 血液学 血液学
- 临床病理学 临床病理学
- 细胞学 细胞学
背景情况:
- 白细胞中蓝绿色的细胞质内含是被低诊断的发现.
- 它们的组成和临床意义仍然不太清楚.
- 这些含有仅在周围血液涂抹 (PBS) 上观察到.
研究的目的:
- 报道一个案例,突出蓝绿色包含的潜在意义.
- 为了将这些包容的存在与严重疾病和肝功能衰竭相关联.
主要方法:
- 周围血液涂抹 (PBS) 检查.
- 临床病例报告和与实验室发现的相关性.
主要成果:
- 一名男性患者患有多种慢性疾病,出现急性呼吸困扰.
- 患者患有严重的肝衰竭和乳酸,最终致死.
- 在患者的严重恶化期间,在PBS上观察到蓝绿色的细胞质内含物,与肝酶异常相吻合.
结论:
- 在乳酸症的急性严重肝衰竭中,PBS上存在蓝绿色含有物是关键的发现.
- 这一发现表明病情危急,预后不佳.
- 立即向医疗团队报告对于患者管理至关重要.
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