Sharan K, Sinha R K
Department of Pediatrics, Nalanda Medical College and Hospital, Patna.
Indian Pediatr. 1990 Dec;27(12):1287-9.
Fine needle aspiration biopsy (FNAB) of spleen was done in 88 suspected cases of Kala-azar. Leishmania donovani (LD) bodies were demonstrated in 56 cases (63.7%) and malarial parasites in 2 (2.3%) while one (1.1%) had picture of chronic myeloid leukemia and another (1.1%) showed acid fast bacilli (AFB) on Ziehl Neelsen staining. Thirty two cases (36.4%), where LD bodies were not found, were subjected to bone marrow examination and none showed LD bodies. There were no complications after FNAB even though 6 patients were having epistaxis. FNAB of spleen is a simple, economical, safe and reliable diagnostic procedure which can be adopted even in remote areas.
对88例疑似黑热病患者进行了脾脏细针穿刺活检。56例（63.7%）发现杜氏利什曼原虫（LD）小体，2例（2.3%）发现疟原虫，1例（1.1%）呈现慢性髓细胞白血病图像，另1例（1.1%）齐-尼氏染色显示抗酸杆菌（AFB）。32例（36.4%）未发现LD小体的患者接受了骨髓检查，均未发现LD小体。尽管有6例患者鼻出血，但细针穿刺活检后未出现并发症。脾脏细针穿刺活检是一种简单、经济、安全且可靠的诊断方法，即使在偏远地区也可采用。
