以血细胞减少为表现的非血液系统疾病108例分析

    Analysis of non-hematological diseases with hematocytopenia:a report of 108 cases

    • 摘要: 目的: 分析以血细胞减少为表现的非血液系统疾病的特点,开阔临床医生思维,避免误诊、漏诊。方法: 对108例以血细胞减少为表现的非血液系统疾病患者的临床表现、实验室检查及诊断进行回顾性分析。结果: 108例中感染性疾病31例,其中疟疾28例,流行性出血热2例,伤寒1例;脾功能亢进21例;结缔组织病21例,以系统性红斑狼疮最为多见;骨髓转移癌18例;甲状腺机能减退症7例;甲状腺机能亢进症5例;胃肠道肿瘤5例。结论: 以血细胞减少为表现的非血液系统疾病临床以感染性疾病最为多见,其次为脾功能亢进、结缔组织病和骨髓转移癌,应引起临床医生重视,减少误诊、漏诊。

       

      Abstract: Objective: To discuss the clinical features of non-hematological diseases with hematocytopenia and to avoid misdiagnosis and missed-diagnosis.Methods: The clinical manifestation,examination data and diagnosis of 108 patients with non-hematological diseases with hematocytopenia were analyzed retrospectively.Results: Of the 108 cases,infectious diseases ranked the first (28.7%),and the most commom infection was malaria.Twenty-one cases displayed hypersplenism,and 21 cases had connective tissue diseases,most of which were systemic lupus erythematosus.Metastatic carcinoma of the bone marrow was observed in 18 cases,hypothyroidism in 7 cases,hyperthyroidism in 5 cases and gastroenteric tumor in 5 cases.Conclusions: Infectious diseases,hematocytopenia,hypersplenism,connective tissue disease and metastatic carcinoma of the bone marrow are frequently observed in non-hematological diseases,which should arouse the clinicians' attention and help them make correct diagnosis.

       

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