Stobbe H
Z Gesamte Inn Med. 1985 Nov 15;40(22):658-60.
The spectre of methods for the diagnostics and differentiation of haemolytic anaemias, particularly for the establishment of congenital, autoimmune haemolytic, drug-conditioned and other anaemias is treated. The clear delimitation of an iron deficiency from a disturbance of the iron distribution is advantageously to be achieved by iron staining of the bone marrow and by a determination of serum ferritin. The value of the diagnostic methods in megaloblastic anaemia is classified according to newer knowledge, in which case the vitamin-B12-absorption test and the serum level determination of vitamin B12 by no means range in the first place. Long-term culture results of haematopoietic stem cells are particularly evident in the aplastic syndrome of the bone marrow and further haematological diseases concerning the establishment of the intensiveness of proliferation. The classification of the acute leukemias demands conventional as well as cytochemical staining methods; recently, it is essentially improved using monoclonal antibodies. In leukemias cytogenetic investigations are more and more attracted to the estimation of the prognoses. In lymphogranulomatosis among others functional disturbances of the cellular immunity, in the group of the non-Hodgkin-lymphomas haematological, protein-analytic and immunological laboratory investigations are methods supporting the diagnosis. Altogether is to be established that the haematological diagnostics has become more and more perfect, in which case apart from new techniques old approved methods are still further used.
本文探讨了溶血性贫血的诊断和鉴别方法,尤其是先天性、自身免疫性溶血性、药物性及其他贫血的诊断方法。通过骨髓铁染色和血清铁蛋白测定,有助于明确区分缺铁与铁分布紊乱。根据最新知识对巨幼细胞贫血诊断方法的价值进行了分类,在这种情况下,维生素B12吸收试验和血清维生素B12水平测定并非首要方法。造血干细胞的长期培养结果在骨髓再生障碍综合征及其他与增殖强度确立相关的血液疾病中尤为明显。急性白血病的分类需要传统及细胞化学染色方法;近来,使用单克隆抗体使其有了显著改进。在白血病中,细胞遗传学研究越来越多地用于预后评估。在淋巴肉芽肿病中,细胞免疫功能紊乱,在非霍奇金淋巴瘤组中,血液学、蛋白质分析和免疫学实验室检查是辅助诊断的方法。总体而言,血液学诊断已越来越完善,在这种情况下,除了新技术外,仍在进一步使用经认可的旧方法。