检验医学 ›› 2012, Vol. 27 ›› Issue (3): 210-212.

• 临床检验与血液学检验论著 • 上一篇    下一篇

传染性单核细胞增多症患儿白细胞散点图的改变

吴梓文   

  1. 上海市复旦大学附属儿科医院,上海 201102
  • 收稿日期:2012-01-09 出版日期:2012-03-30 发布日期:2012-03-16
  • 作者简介:吴梓文,女,1986年生,学士,技师,主要从事医学检验工作。

Changes of leukocytes scatter plot in children with infectious mononucleosis

  1. Children′s Hospital of Fudan University, Shanghai 201102, China
  • Received:2012-01-09 Online:2012-03-30 Published:2012-03-16

摘要: 目的 通过检测感染EB病毒(EBV)的患儿淋巴细胞异常散点图,探讨其在疾病中的变化及临床意义。方法 选择2010年1月至4月至复旦大学附属儿科医院就诊的患儿为研究对象,根据是否感染EBV及是否出现异常散点图进行分组,观察两者间的联系。结果 研究期间102例患儿进入分析,年龄0~11岁。其中 抗EBV抗体阳性者45例,淋巴细胞特殊异常形态者45例,以上2项均阳性患者31例。采用4格表卡方检验得出外周血细胞形态正常者与淋巴细胞群异常者抗EBV抗体阳性率是不相等的(P<0.01)。结论 血液分析仪中散点图对于异常淋巴细胞的检出在诊断EBV病毒的急性感染时具有重要的辅助意义。

关键词: EB病毒, 异常淋巴细胞, 散点图

Abstract: Objective To observe the scatter plot of atypical lymphocyte in children with Epstein-Barr virus (EBV) infection, and to investigate their change and clinical significance in the disease.  Methods The infected children treated in Children′s Hospital of Fudan University from January to April in 2010 were enrolled. According to the infection of EBV and the typical scatter plot, the children were classified. The relation of the groups were observed.  Results There were 102 children aged 0 to 11 years old in the study. The anti-EBV antibody positive group included 45 cases, and the scatter plot of atypical lymphocyte group included 45 cases. Both anti-EBV antibody positive and scatter plot of atypical lymphocyte group included 31 cases. Through the chi-square test, the difference of the anti-EBV antibody positive rate between children who had atypical lymphocyte and children who had normal peripheral blood cells was detected (P<0.01).  Conclusions The scatter plot in hematology analyzer for the detection of atypical lymphocyte has important secondary significance when diagnosing the acute EBV infection.

Key words: Epstein-Barr virus, Atypical lymphocyte, Scatter plot