臨床意義與用途:
型態
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參考值
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臨床意義
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Fragment RBC(Schistocyte)
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Normal(<1cell/OIF)
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燒傷、DIC、血栓障礙、溶血性貧血、器官移植
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Anisocytosis
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Normal(<2cells/OIF)
|
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Poikilocytosis
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Normal(<2cells/OIF)
|
|
Normocytic
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Normocytic 3+
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Macrocytic
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Normocytic 3+
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肝臟疾病, 維生素B12或葉酸缺乏
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Microcytic
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Normocytic 3+
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缺鐵、鉛中毒、慢性病貧血
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Normochromic
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Normochromic 3+
|
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Hypochromic
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Normochromic 3+
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缺鐵性貧血,地中海型貧血,鐵芽球性細胞貧血
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Rouleaux Formation
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Normal
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球蛋白或纖維蛋白原增多所引起,巨芽球蛋白血症、多發性骨隨瘤、炎症反應
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Ovalocyte
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Normal(<2cells/OIF)
|
|
Spherocyte
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Normal(<2cells/OIF)
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輸血反應、遺傳性球型紅血球增多症、免疫溶血性貧血
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Stomatocyte
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Normal(<2cells/OIF)
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遺傳性口狀細胞症、肝臟疾病、酒精性肝硬化
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Target cell
|
Normal(<2cells/OIF)
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阻塞性黃疸、肝硬化、缺鐵性貧血、海洋性貧血、血色素病變、脾臟切除
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Teardrop cell
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Normal(<2cells/OIF)
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骨髓纖維化、紅血球再生不良症、巨芽球性貧血、Multiple myeloma
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Eilliptocyte
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Normal(<2cells/OIF)
|
遺傳性橢圓形血症、IDA、巨芽球性貧血
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Sickle cell
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Normal(0cell/OIF)
|
Sickle cell (SS) disease 、Hemoglobin SC disease 、Hemoglobin SD disease、Hemoglobin S-beta thalassemia
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Howell-Jolly body
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Normal(0cell/OIF)
|
脾臟切除、巨芽球性貧血、溶血性貧血、嬰兒
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Pappenheimer body
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Normal(<2cells/OIF)
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脾臟切除或脾臟功能低下、巨芽球性貧血、Thalassemias
|
Baso. Stippling RBC
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Normal(0cell/OIF)
|
Thalassemias、巨芽球性貧血、大量重金屬中毒(鉛中毒) 、紅血球再生不良血症、 肝臟疾病
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Cabot ring
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Normal(0cell/OIF)
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嚴重貧血、造血不良、鉛中毒、脾切除
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Polychromasia
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Normal(<1cells/OIF)
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溶血性貧血
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Acanthocyte
|
Normal(<1cells/OIF)
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脾臟切除、脾臟功能低下、肝臟疾病、缺乏beta-lipoproteinemia、營養不良
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Burr cell
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Normal(<2cells/OIF)
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抽血抽太久、放置過久的血、PH值太高、尿素症、肝臟疾病、Pyruvate kinase deficiency、低鉀、低磷、低鎂血症
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Hyperchromasia
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Normochromic 3+
|
|
Hemaglutination
|
Normal
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Chronic cold hemagglutinin disease 、Severe cases of warm autoimmune、溶血性疾病。
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參考來源:HEMATOLOGY-CLINICAL PRINCIPLES AND APPLICATIONS ,Fourth Edition, BERNADETTE F.RODAK.
Clinical Hematology: Principles, Procedures, Correlations, Cheryl A. Lotspeich-Steininger.et al.
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