The diagnosis important point of chronic and lymphoid cell leukemia

(A)The history and symptom of disease
The history of⑴ disease lifts to ask:Rising a disease is slow-moving, the patient has no obvious symptom more, asking to diagnose should notice if there is low heat, night sweat or not and easily be infected performance.
The ⑵ clinical symptom:Tired, emaciated, bad Na, night sweat, physical strength decrease, have fever, accidentally have the skin Sao the Yang.
(Two)the check-up discover
The whole body lymph knots swollen big, wait in the quality hard, can move, the later period glues mutually connect fusion;The liver Pi light degree is swollen big, the later period spleen is greatly obviously swollen.The bone pain isn't obvious.Later period skin it is thus clear that the issue of blood orders.
(Three)the assistance check
1.Blood elephant:The positive cell positive dye is anemic.The white cell counts>10 the ×s are 109 Ls, classification:Lymphoid cell>50%, absolute value>5.0 × 109 Ls;Regard mature and lymphoid cell as principle, it is thus clear that immature and lymphoid cell and different type lymphoid cell.The blood platelets is normal or reduces.
2.Marrow elephant:Increasing a life to jump to is extremely active and increase to living by mature and lymphoid cell obviously and have above 40%, original, immature and lymphoid cell<10%.Red fasten, the grain fasten opposite decrease, the huge pit cell is normal or reduces.
3.The blood immunity globulin reduces;Or increase Gao for single stub immunity globulin, many is an IgM type.The κ light chain or the λ light chain examination masculine gender.
(Four)the clinical cent of CLL expect and discriminate diagnosis
1.The cent expects:The Ⅰ expects:The lymphoid cell increases, can the companion have lymph to knot swollen big.
The Ⅱ expects:Ⅰ Period+the liver is big or the Pi is big.
The Ⅲ expects:The Ⅰ expects or the Ⅱ expect+anemic(hemoglobin<100 gsL) orreduces with blood platelets.(<100 × 109 Ls)
2.Discriminating the diagnosis should knot the burning and lymphoid lump, contagion list pit cell with tubercle lymph to increase disease, hair cell leukemia, young lymphoid cell leukemia etc. discriminate.