What to do when there is an abnormal total blood analysis test?

This is an automatically translated article.

The article was written by Doctor Pham Thi Thuy Nhung - Laboratory Department of Vinmec Hai Phong International General Hospital.

Peripheral blood cytology test is a blood test that, after being removed from the body, will be stored in a test tube with EDTA anticoagulant, followed by laboratory staff using analytical equipment to count the number of blood cells. Blood cells include: white blood cells (WBC), red blood cells (RBC), platelets (PLT), and helps determine the percentage and size of blood cells.

Total blood cell analysis is used to initially assess a patient's current health condition such as body disorders or blood-related diseases such as blood infection, anemia or some diseases. other related diseases. Based on one and/or more abnormal parameters, the next step is to perform more in-depth tests to determine the causes of the abnormality.

Xét nghiệm tổng phân tích tế bào máu bước đầu đánh giá các bệnh lý liên quan đến máu

1. For the red blood cell line

Hemoglobin index (HGB): helps doctors to assess whether a patient is anemic or not, how anemia is. MCV (mean red blood cell volume): helps doctors classify anemia with large or small red blood cells. MCV decreased in cases of iron deficiency anemia, thalassemia, abnormal hemoglobin pathology, lead poisoning, chronic inflammation... MCV increased in cases of vitamin B12 deficiency, folic acid deficiency, liver disease, alcohol abuse. .. MCH, MCHC index: commonly used to evaluate and classify the patient's anemia as normal or hypochromic. MCH, MCHC are low when the patient has iron deficiency anemia, Thalassemia..

2. For the white blood cell line

Leukopenia: Depending on the type of white blood cell that is in decline, there will be different names such as: lymphocytopenia, neutropenia... seen in cases of viral infections, myeloproliferative cancer treatment, cirrhosis... Leukocytosis: similar to lymphocytosis, neutrophilic leukocytosis, eosinophilia... Elevated eosinophils, doctors need to find the causes due to parasites, allergies, cancer... Elevated neutrophil count, doctors need to find the cause of infection... In case of abnormally high white blood cells, it should be done specialized tests to diagnose blood cancer.

Trẻ ho sốt kéo dài và chỉ số bạch cầu tăng cao có đáng lo? — Bác sĩ tiến hành thêm các xét nghiệm chuyên sâu để đánh giá sự tăng giảm bạch cầu đột ngột

3. For platelet stream

Decreased platelet count is often the result of diseases that affect the production or destruction of platelets in the patient's blood.
Increased platelet count can be caused by bone marrow disease, infection, postoperative splenectomy...
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This article is written for readers from Sài Gòn, Hà Nội, Hồ Chí Minh, Phú Quốc, Nha Trang, Hạ Long, Hải Phòng, Đà Nẵng.