A discussion of the clinical significance of the immature red blood cells detected in peripheral blood smear

LIU Jie,YANG Xiao-chun,HAO Wei-min.(Department of Clinical Laboratory,Suzhou Municipal Hospital,Anhui 234000,China)  

Objective To discuss the clinical significance of the immature red blood cells detected in peripheral blood smear of neoplastic hematologic disorder and non-neoplastic heamatologic disorder through the analysis of the detection rate of the immature red blood cells in peripheral blood smear.Methods Peripheral blood smears of 992 patients were simultaneously examined who had made a myelocytology check in our hospital(Jan.2001~Oct.2007).After counting and classification of 100 white blood cells,the detection rate of the immature red cells was demonstrated by the detection of the immature red blood cell counts of 100 white blood cells(immature RBC counts/100 WBC).Results 122 examples were detected to have immature red blood cells in peripheral blood smear of 992 patients who simultaneously had the examination of myelocytology and peripheral blood smear.The detection rate of the immature red blood cells in peripheral blood smear of neoplastic hematologic disorder patients was 32.3%.The detection rate of the immature rad blood cells in peripheral blood smear of non-neoplastic hematologic disorder patients was 9%.There was significant disparation between them(P0.005).Conclusion There is certain clinical significance to the diagnosis and the differential diagnosis between neoplastic hematologic disorder and non-neoplastic hematologic disorder by detecting immature red blood cells in peripheral blood smear.Reconstruction should be evoked and follow-up visit be taken when immature red blood cells and immature granular cells in nubibus are found in peripheral blood.

【CateGory Index】： R446.1

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