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[内科门诊中的白细胞增多、白细胞分类左移及类白血病反应]

[Leukocytosis, the leftward shift of the white blood picture and leukemoid reactions in the internal medicine clinic].

作者信息

Kŭrnolski I, Natov S

出版信息

Vutr Boles. 1987;26(2):99-103.

PMID:3604205
Abstract

The white blood count of 6549 patients with various internal diseases of respiratory, cardiovascular, gastrointestinal, excretory and endocrine systems was studied as well as in neoplasms, collagenosis, etc. with the exception of malignant hemopathies. Leukocytosis was established in 21.8% of them. In almost half of the cases, leukocytosis is low, in 44.6% it ranges from 12-20 X 10(9)/l and in 10.2%--it is high--from 20 to 40 X 10(9)/l. Immature cells in the peripheral blood were established corresponding to stab neutrophils over 0.06-0.10, metamyelocytes, myelocytes reaching myeloblasts in the cases with leukemoid reactions. The leukemoid reactions have, with no exceptions, been of myeloid type and developed in various diseases.

摘要

对6549例患有呼吸、心血管、胃肠、排泄和内分泌系统等各种内科疾病以及肿瘤、胶原病等(恶性血液病除外)患者的白细胞计数进行了研究。其中21.8%的患者出现白细胞增多。在几乎一半的病例中,白细胞增多程度较低,44.6%的患者白细胞计数在12 - 20×10⁹/L之间,10.2%的患者白细胞计数较高,在20至40×10⁹/L之间。在外周血中发现了未成熟细胞,在类白血病反应的病例中,杆状核中性粒细胞超过0.06 - 0.10,还出现了晚幼粒细胞、中幼粒细胞,甚至早幼粒细胞。无一例外,类白血病反应均为髓样型,且在各种疾病中均有发生。

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