血液病形态学检测——骨髓涂片报告单诠释
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">骨髓涂片，<span style="color: black;">指的是</span>取小部分骨髓液，进行化学染色，染色后血细胞<span style="color: black;">显现</span>不同的颜色，<span style="color: black;">大夫</span>就<span style="color: black;">能够</span><span style="color: black;">经过</span>显微镜观察，判断细胞的类型和数目。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">通常</span>上，做骨髓涂片时会<span style="color: black;">同期</span>做外周血涂片，<span style="color: black;">同期</span>观察，对<span style="color: black;">疾患</span>的判断才更准确。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">骨髓涂片的报告<span style="color: black;">重点</span>有4部分：各类血细胞的比例计数、显微镜观察的结果图示、骨髓象与血象的特征描述、和诊断意见。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-7085e1d030c29040d19dafdcc0ca11b2_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">第1</span>部分：各类血细胞的比例计数</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在这一部分结果中，<span style="color: black;">大夫</span>会<span style="color: black;">按照</span>显微镜中观察到的结果来填写。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有些细胞会<span style="color: black;">表示</span>数值，说明骨髓或血液中存在这类细胞，数值<span style="color: black;">表率</span>这类细胞存在的比例。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有些细胞，其数值<span style="color: black;">表示</span>为空白，说明在骨髓或血液中<span style="color: black;">无</span>观察到这类细胞</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第二部分：显微镜观察的结果图示</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-b2278363b229ca4fc55194dfe9fd227c_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第三部分：骨髓象与血象的特征描述</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这一部分，是<span style="color: black;">大夫</span><span style="color: black;">按照</span>观察的结果，做出的描述，<span style="color: black;">包含</span>：</p>取材好坏骨髓增生程度各类细胞<span style="color: black;">是不是</span><span style="color: black;">反常</span>及<span style="color: black;">反常</span><span style="color: black;">状况</span>等<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">骨髓增生程度，参考值如下:</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-06cd44acaee984c6feef3252f133ed65_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有时，<span style="color: black;">大夫</span><span style="color: black;">亦</span>会用<span style="color: black;">另一</span>一个更加<span style="color: black;">仔细</span>的标准来判断</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-456066577e7527daf45827536b49df3d_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第四部分：诊断意见</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-93222b5946647e2a9b53896a974c15b5_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">首要</span>，<span style="color: black;">针对</span>初诊的<span style="color: black;">病人</span>，<span style="color: black;">这儿</span><span style="color: black;">重点</span><span style="color: black;">供给</span>诊断信息，<span style="color: black;">便是</span><span style="color: black;">经过</span>这个检测，初步诊断为某种类型的血液病。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-7475ac8968ce529a6f52b1e48aa62554_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-1c27520ca2c476d5aa80e0d69bb0c9c1_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">而后</span>，<span style="color: black;">针对</span>经过治疗后复查的<span style="color: black;">病人</span>，这里<span style="color: black;">重点</span><span style="color: black;">供给</span>治疗<span style="color: black;">是不是</span>有效的信息，<span style="color: black;">便是</span><span style="color: black;">经过</span>这个检测判断骨髓象<span style="color: black;">是不是</span>缓解，治疗有用没用。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-8ead24ed92551a5d401ee00a84098df6_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在<span style="color: black;">这儿</span><span style="color: black;">显现</span>的NR、PR、CR分别是对骨髓<span style="color: black;">是不是</span>缓解的描述：</p>NR(未缓解)：骨髓中原始细胞比例＞20%。这个结果说明，治疗效果<span style="color: black;">欠好</span>，未达到预期结果，，<span style="color: black;">必须</span>更换治疗<span style="color: black;">方法</span>。PR(部分缓解)：5%＜骨髓中原始细胞≤20%。这个结果说明，治疗效果有效但效果未达到最佳，，<span style="color: black;">必须</span>维持原<span style="color: black;">方法</span>继续治疗。CR(完全缓解)：骨髓中原始细胞比例≤5%。这个结果说明，治疗效果非常好，<span style="color: black;">能够</span>进行下一步巩固治疗，并<span style="color: black;">定时</span>检测MRD(微小残留)。<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">骨髓涂片<span style="color: black;">检测</span>是<span style="color: black;">评定</span>疗效的一个<span style="color: black;">要紧</span>指标，每一次的<span style="color: black;">检测</span>都是必查项目!</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-38fefea851a7f975e67e151ae7d2f24e_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">未完待续......</p>
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