Tuesday, April 16, 2013

Talk about the blood routine briefly

Talk about the blood routine briefly
Most basic laboratory test check at blood routine clinical. It includes erythrocyte, leucocyte, hemoglobin and blood platelet quantity,etc.. The intersection of blood and routine gather, point blood or the intersection of earlobe and the intersection of tip and blood with acupuncture, drip, enter on the purpose-built the intersection of calculation and set after dilution, and then put under microscope and calculate the blood cell number. Hemoglobin is called the hemochrome too, turn into brown acid hemoglobin after meeting hydrochloric acid, then add the distilled water, until color column color is identical to compare with standard, the liquid level scale read, gram that it is hemoglobin is counted. The blood routine examination should carry on the blood slide at the same time too, in order to observe the size, shape of the erythrocyte under the microscope, and carry on the leucocyte with the categorised counter of blood cell observation and classification of all kinds of cells are counted. The quantity of erythrocyte of the normal adult of our country is: Men (4.5-5.5) *1012 liter; Women (3.5- 5.0) *1012 liter. And the quantity of hemoglobin is in the blood: 120- 165 grams of man liter; Women are 110- 155 grams liter. The increase and decrease on erythrocyte and hemoglobin quantity often runs side by side on clinic. The increase of physiological erythrocyte and hemoglobin, the rarely seen baby coming into being, but can drop to gradually normally afterwards. Under vomiting, suffering from diarrhoea or appearing organism dehydration states such as profuse sweating,etc. seriously, because the blood is concentrated, can cause the increase of erythrocyte and hemoglobin. Under the oxygen deficiency state poison in carbon monoxide, mountain sickness or dive under water ill,etc., because the urgent general mobilization of organism, erythrocyte and hemoglobin can also increase correspondingly. In heart failure or patient of congenital heart disease, its hemoglobin and erythrocyte can all present the compensating, increase. And the reduction of hemoglobin and erythrocyte quantity, see anaemia caused in various reasons. Partial to a limited variety of food and the malnutritive anaemia due to the bad eating habits of abstaining from eating meat etc. is relatively more common, generally need supplying nutrition, iron pharmaceutical and vitamin B12,etc.. The ancylostomiasis prevailing area, the ancylostomiasis patient will cause anaemia because the long-term intestine bleed. Great after and traumatism to lose blood, active gastric ulcer or gullet variceal spittinging blood big, bronchiectasis, the cavity pulmonary tuberculosis patient's big hemoptysis, the intersection of uterus and functionality bleed with the intersection of hemophilia and patient, the intersection of haemorrhoids and patient, the intersection of scurvy and patient,etc. for a long time repeatedly but chronic losing blood, can also cause anaemia. The reason of the regenerated obstacle anaemia, the obstacle has happened in the hematopoietic function that it is the bone marrow. Relatively reduce the erythrocyte under the normal situation, can be seen to the elderly too sometimes, but often relate to nutritional status. The quantity of the leucocyte is in the normal adult's blood of our country: (40- 100)*109 liter; Children (50- 120)*109 liter. The physiology leucocyte increases, it is obvious to the neonate, after taking exercises after a meal, vigorously or gestation and giving birth to stage. But the pathology leucocyte increases, common in various suppurative coccus or infection of bacillus, such as septicaemia, pneumonia, meningitis, acute tonsillitis, acute nephritis, acute cholecystitis and scarlet fever,etc.. The main manifestation of leukemia is the limitless hyperplasia of the leucocyte. But the reduction of the leucocyte, common influenza, measles, hepatitis or typhoid fever, cloth and some bacillus diseases such as being ill of bacillus that caused in the virus. Also it is obvious and wait for and infect to a sex pulmonary tuberculosis of millet or septicaemia seriously and when sulfa drug, arsenic, benzene and radioactive material are poisoned. Regenerated obstacle anaemia patient, the leucocyte is reduced together with reduction made of the erythrocyte. The patient of the malnutritive anaemia seriously, various blood cells of its are generally poor, certainly the leucocyte does not make an exception. After carrying on the blood slide, can find size of erythrocyte and shape which is short of iron anaemia patient are uneven under the microscope, the cell centre turns white in the area and expands. If see red blue more inmature erythrocyte increasing, can sentence to knowing its regenerated function of bone marrow is vigorous. In normal condition, leucocyte divide into for divide the intersection of leaf and nuclear grains of cell, neutral the intersection of pole and the intersection of form and nuclear grains of cell into, have a liking for acid grains of cell, the intersection of basophilia and grains of cell, lymphocyte and monocyte while being neutral. Among them, divide about 50%- 70% of nuclear cells of leaf neutrally, about 1%- 4% of nuclear cells of neutral pole, lymphocyte is about 20%- 35%, monocyte, acid cells, a cell of basophilia are few, it is 1%- 6%, 1%- 4%, about 1% respectively. The increase of neutral cells, the change of the importance, see at most infective disease and suppurative disease for being most common, the most, also see poisoning. But the reduction of neutral cells, common at influenza, measles, hepatitis and some bacillus diseases due to the virus. The normal number of the blood platelet is that (100- 300)*109 liter. The blood platelet is reduced commonly at blood platelet reducing purpura and regenerated obstacle anaemia. It is infected that some is acute and when being poisoned, the blood platelet can also be reduced. But blood platelet increase, see when being acute to bleed, stop, after the spleen is excised, the sex increase for the moment. The daily symbol on the regular laboratory test report of blood is: RBC represents the erythrocyte, WBC represents the leucocyte, Hb represents hemoglobin (hemochrome) ,PLT represents blood platelet. Select from China to lead the medical website

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