The typical model case of impatient leukemia diagnoses not difficult, but non- typical model case and initial stage of outbreak because of clinical don't have particularity, such as inattention check the blood elephant and marrow elephant usually result in a misdiagnosis.
Clinical need to notice to discriminate with following disease.
(1)the reborn obstacle is anemic
The white cell decrease leukemia surroundings blood can present the whole blood cell decrease but easy misdiagnosis as reborn obstacle anemic.But again the Zhang general appearance compares a leukemia well, generally not companion liver, Pi, lymphoid knot swollen big, also have no breastbone to press pain;The surroundings blood doesn't appear immature cell;Don't build blood cell to increase in the marrow elephant, have no the increasing of originality and immature cell comparison high phenomenon.
(2)original hair blood platelets decrease purple Dian
There is the history of the issue of blood disease to again and again go into action, anemic degree and issue of blood measure into a direct proportion.In the surroundings blood the blood platelets reduces, have no immature cell:The nonentity increases high originality and immature cell in the marrow elephant, although the blood platelets is seldom seen,the huge pit cell is normal or increases.
(3)rheumatism
Impatient leukemia with the long term has fever ache with bone joint for the case of main symptom.It is a rheumatism such as the check easy misdiagnosis of inattention surroundings blood and marrow elephant.Rheumatism although also appearing is anemic and the liver Pi is greatly swollen, degree more light, don't present to carry on sex to aggravate as well, have no blood platelets decrease and issue of blood tendency;Surroundings blood and marrow cell categorize generally as usual.
(4)grain the cell lack a disease
Much have already had fever to ulcerate a history with mouth cavity, generally didn't show Zhao anemic.Although the surroundings blood white cell reduces.The neutral grain cell obviously reduces, but the red cell, hemoglobin is as normal as blood platelets and have no immature cell to appear, the grain fastens to present a mature obstacle in the marrow elephant, the red cell is as normal as huge pit cell.
(5)the contagion list pit cell increases a disease(handbill)
The handbill has been already had fever as well, the shallow form lymph knot swollen big.The Pi is big;There is unusually lymphoid cell in the blood elephant, easy misdiagnosis for nasty pour.But the handbill didn't carry on sex anemic, generally also dollar blood platelets decrease and issue of blood, love a difference to solidify to experiment masculine gender, marrow elephant mostly normal, only have the jot the unusually lymphoid cell.
(6)malignant organization cell disease
The condition is similar to the impatient leukemia, but blood slice and marrow slice all it is thus clear that the excrescent net cell that the degree doesn't wait.The cell's physical volume is more big, the afterbirth straches navy blue or shallow and blue, have small grain and empty bubble, pit circular or anomaly or have a pair of pits.Check abnormal more, dye quality delicacy to present a net, and appear to gobble up sex net cell.These characteristics are different from leukemia.
The impatient leukemia discriminates with other paroxysms
3.13.2009
Subscribe to:
Post Comments (Atom)
0 Comment:
Post a Comment