首页|50例患者静脉血RBC中检出一种Gram(+)真菌

50例患者静脉血RBC中检出一种Gram(+)真菌

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目的:检测各类贫血病患者静脉血RBC中感染的真菌种类和区别,寻求敏感药物治疗,减少临床用血量,节约血资源。方法:白血病患者静脉血50-100μl滴加在1640和生理盐水混合液中培养,22-36度条件下,置100×显微镜下观察接种后至120小时的真菌和原虫生长感染红细胞状况。结果:不同类型贫血病患者静脉血培养中镜下均可见同一种真菌生长。镜下观察:伴随温度的提高,①真菌在红细胞内繁殖速度加快,二分裂倍数增长,最后呈喷射状释放到红细胞体外,呈球形游离单体,运动速度极快,致使血红蛋白流失,形成影形红细胞,导致患者贫血。温度低时,即结成杆状菊花状。同时可见血小板被①真菌侵袭后运动速度加快,形成影形印戒形,被白细胞吞噬。结论:贫血患者静脉血中见到同一类真菌可为正常人类红细胞中感染的一种真菌,当伴有其他原虫和真菌类病原微生物侵袭时诱发繁殖速度加快,RBC中HB流失加快,导致各类贫血病。
Objective:Detection of various types of anemia in venous blood of patients with RBC infection fungal species and distinction, for sensitive drug treatment, reduce the blood for clinical use, save blood resources. Methods:Leukemia venous blood of patients with 50-100/L dropping in 1640 dspx and saline mixed medium, 22-36 conditions, the 100 x microscope after vaccination to 120 hours of fungi and protozoa infected red cel s growth condition. Results:Different types of anemia in patients with venous blood cultures in mirror are visible with a fungal growth. Endoscopic observation:with the temperature increasing, the fungus inside red blood cel propagation speed, two split multiply, final y was sprayed, released to the red blood cel s in vitro, spherical free monomer, movement speed, causes the hemoglobin loss, form shadow shaped red blood cel , leading to anemia. When the temperature is low, i.e., a rod-shaped chrysanthemum. At the same time visible platelets were of fungal invasion after movement speed, forming a film-shaped signet-ring shaped, by phagocytic leukocytes. Conclusion:Anemia in patients with venous blood to see the same class of fungi for normal human red blood cel s infected by a fungus, when accompanied by other protozoa and fungi pathogenic microorganism invasion induced by propagation speed, RBC HB loss accelerated, resulting in various types of anemia.

RBCDetectionanemia

董历明、王琬婷、冯照强、吉化春、周璐、孙斌斌、李杨

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中国辽宁省抚顺市矿务局总医院

中国辽宁省抚顺市中心医院

RBC 真菌 贫血病

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(6)
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