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目的:探讨通过各项实验室检查快速诊断自身免疫性溶血性贫血的应用价值。方法:对24例自身免疫性溶血性贫血患者进行各项实验室检查并进行免疫分型。结果:IgG+C3型多见,余次为C3、IgG型。总胆红素、直接胆红素、乳酸脱氢酶、网织红细胞计数均明显高于正常参考值,Commbs试验大多为阳性,骨髓象检查明显异常。结论:通过各项实验室检查可快速诊断自身免疫性溶血性贫血并进行分型,为临床治疗提供可靠的依据。
Objective: To explore the value of rapid diagnosis of autoimmune hemolytic anemia through various laboratory tests. Methods: 24 cases of autoimmune hemolytic anemia in various laboratory tests and immunophenotyping. Results: IgG + C3 type more common, the remaining times as C3, IgG type. Total bilirubin, direct bilirubin, lactate dehydrogenase, reticulocyte count were significantly higher than the normal reference value, most of the Commbs test was positive, bone marrow examination was abnormal. Conclusion: The rapid diagnosis of autoimmune hemolytic anemia through various laboratory tests can provide a reliable basis for clinical treatment.