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系统性炎症反应综合征 (SIRS) 中白细胞的形态变化,有或没有败血症:一项观察性研究
Siddharth Sharma1, Kumari Pratima2, Shivlok Narayan Ambedkar1
1Department of Medicine, VMMC and Safdarjung Hospital, New Delhi, India.
Journal of family medicine and primary care
|August 28, 2023
概括
白血细胞的形态变化,包括有毒颗粒和细胞质真空,在有败血症的全身炎症反应综合征 (SIRS) 患者中更为频繁. 仅在败血症患者中观察到多勒体,这表明它们具有作为败血症预测者的潜力.
科学领域:
- 血液学 血液学 血液学
- 临床病理学 临床病理学
- 传染性疾病 传染性疾病
背景情况:
- 系统性炎症反应综合征 (SIRS) 是一个复杂的临床状态.
- 区分有败血症的SIRS和没有败血症的SIRS对于及时治疗至关重要.
- 白血细胞 (WBC) 的形态变化可能提供诊断线索.
研究的目的:
- 调查SIRS患者的白细胞形态变化.
- 为了确定这些变化是否可以预测败血症的存在.
- 为了比较患有败血症和没有败血症的患者的发现.
主要方法:
- 观察性研究,包括患有SIRS (有或没有败血症) 的成年患者.
- 排除标准:血液学疾病,怀孕.
- 周围血液涂抹分析有毒颗粒,细胞质真空和Dohle体.
主要成果:
- 与没有败血症的SIRS相比,有毒颗粒 (55.8%与12.5%),细胞质真空 (30.8%与6.3%) 和Dohle体 (17.3%与0%) 在败血症SIRS中的流行率明显更高.
- 毒性颗粒和细胞质真空在败血症患者的中性粒细胞中更频繁.
- 多勒体仅在败血症患者中存在.
结论:
- 在SIRS和败血症患者中,WBC形态变化,特别是有毒颗粒,细胞质真空和Dohle体,更为普遍.
- 这些发现表明,白细胞形态可以作为预测SIRS患者败血症的有价值指标.
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