巨幼细胞贫血骨髓幼红细胞百分比

目的 分析巨幼细胞贫血(MA)患者的骨髓幼红细胞百分比.方法 本研究包括53例未治疗的初诊MA患者.骨髓涂片经瑞氏染色后,显微镜下计数每例患者200个骨髓有核细胞.结果 53例MA患者中,36例骨髓幼红细胞百分比≥40%,占67.9%;40例骨髓幼红细胞百分比在30%～60%之间,占75.5%;全部患者骨髓幼红细胞百分比均数为45.32%,约为参考值(19.65%)的2倍多,其中位数为45.00%;幼红细胞百分比最小值为24.0%,最大值为89.0%.早幼红细胞百分比均数增加最显著,高达11.19%,为参考值(0.92%)的12.16倍,其中位数为9.50%.结论 MA患者骨髓幼红细胞百分比范围广泛,需与其他贫血相鉴别.Abstract：Objective To analyze the percentage of bone marrow erythroblast from patients with megaloblastic anemia(MA). Methods Fifty-three cases of newly diagnosed MA patients untreated were included in this study. Bone marrow smears were handled with wright's stain. For each case, 200 bone marrow nucleated cells were counted with microscope. Results The percentage of bone marrow erythroblast from 36(67.9%) of them was ≥40%. The percentage from 40(75.5%) of them was between 30% and 60%. The mean percentage of all the cases was 45.32%, more than twice the reference values(19.65%). The median percentage of all the cases was 45.00%. The minimum percentage of erythroblast was 24.0%, the maximum percentage was 89.0%. The mean percentage of basophilic erythroblasts was increased most obviously, that was as high as 11.19%, about 12.16 times of the reference values(0.92%). The percentage median of basophilic erythroblasts was 9.50％. Conclusions The percentage of bone marrow erythroblast from MA is wide in range. MA should be differentiated from other anemias.

Percentage of bone marrow erythroblast from megaloblastic anemia