Clinicopathological and flowcytometric analysis of platelet function in patients presenting with thrombocytopenia

Lal Panay Singh, Sandeep Bhandari, Meena Singrol, Priyanka Verma
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Abstract

Platelet function disorders are highly heterogeneous; those may be inherited/ acquired. Patients with these may have inadequate platelet count with impaired function, but may also have both. Early detection of platelet dysfunction also helps in better patient management and improve outcome. Prospective study done in 50 cases, Patient’s details history of thrombocytopenia. Complete blood count with peripheral smear is done and various parameters are analysed with respect to the platelet count, PDW, P-LCR. On EDTA preserved blood sample four monoclonal antibodies CD41, CD42b, CD61 and CD62p are applied and analysed by flow cytometer. In 50 thrombocytopenia cases out of which 06(12%) were immunological thrombocytopenia & 44 (88%) were non-immunological thrombocytopenia.
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血小板减少症患者血小板功能的临床病理和流式细胞仪分析
血小板功能障碍具有高度异质性;可能是遗传性的,也可能是后天获得性的。这些患者可能血小板数量不足,功能受损,也可能两者兼有。早期发现血小板功能障碍也有助于更好地管理患者和改善预后。对 50 个病例进行了前瞻性研究,详细了解了血小板减少症患者的病史。通过外周涂片进行全血细胞计数,并对血小板计数、PDW、P-LCR 等各种参数进行分析。在乙二胺四乙酸(EDTA)保存的血样中使用四种单克隆抗体 CD41、CD42b、CD61 和 CD62p,并用流式细胞仪进行分析。在 50 例血小板减少病例中,有 06 例(12%)为免疫性血小板减少,44 例(88%)为非免疫性血小板减少。
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