Quaglino D, Corazza G R
Clinica Medica Generale e Terapia Medica, Università degli Studi de L'Aquila.
Ann Ital Med Int. 1992 Oct-Dec;7(4):234-8.
A number of distinct hematological alterations take place in the presence of infectious diseases. This review seeks to provide a diagnostic guide and prognostic criteria for the clinician in the light of the concomitant hematological changes occurring in the course of acute and chronic viral, bacterial, spirochetal and protozoal infections. The authors emphasize the fact that although certain broad principles may be applied to each type of infection, these principles may have to be interpreted with considerable latitude in any individual case, on account of the variable factors of virulence and resistance. The careful examination of blood films and bone marrow smears, supplemented when appropriate by cytochemical reactions, may be useful in the differential diagnosis of various infective states and in assessing both the severity of the pathological condition and the response of the patient.
在传染病存在的情况下会发生一些不同的血液学改变。鉴于在急性和慢性病毒、细菌、螺旋体和原生动物感染过程中伴随出现的血液学变化,本综述旨在为临床医生提供诊断指南和预后标准。作者强调,尽管某些宽泛的原则可能适用于每种感染类型,但由于毒力和抵抗力等可变因素,在任何个别病例中这些原则可能都需要有相当大的灵活性来解释。仔细检查血片和骨髓涂片,并在适当情况下辅以细胞化学反应,可能有助于各种感染状态的鉴别诊断,以及评估病理状况的严重程度和患者的反应。