RBC histogram: Useful diagnostic tool in evaluating anaemia

Vineet Banga, Aarushi Soota
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Abstract

: Anaemia is a widespread public health problem, more common in developing countries. Red blood cell histogram is a vital part for evaluation and diagnosis of anaemia. Histogram can be a useful modality for arriving at the probable diagnosis of anaemia reporting in short span of time.: To observe various RBC Histogram on haematology Analyser in anaemia and analyse the usefulness of RBC Histogram to correlate with peripheral smear.: A prospective study was done in Department of Pathology of Secondary Care hospital from January 2024 to March 2024 on 300 anaemia patients. RBC Histogram were observed, analysed and correlated with peripheral smear. Out of total 300 patients, Most common anaemia is Microcytic Hypochromic (60%), Normocytic normochromic (21.33%), Dimorphic anaemia (12.33%) and macrocytic anaemia (6%). 95.5% microcytic hypochromic anaemia showed left shifted curve, 84.3% Normocytic normochromic anaemia showed normal curve, 88% macrocytic anaemia showed right shift curve. Considering the speed, reliability and less inter observer variation of the modern haematological analysers RBC histogram are important diagnostic tool for various types of anaemia and provide accurate morphological typing of anaemia in most cases hence presumptive report can be released based on RBC histogram.
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红细胞直方图评估贫血的有用诊断工具
:贫血是一个普遍的公共卫生问题,在发展中国家更为常见。红细胞直方图是评估和诊断贫血的重要部分。红细胞组织图是在短时间内得出贫血可能诊断报告的有用方法。 目的:观察血液分析仪上贫血患者的各种红细胞组织图,并分析红细胞组织图与外周涂片相关性的有用性:一项前瞻性研究于 2024 年 1 月至 2024 年 3 月在二级医院病理科对 300 名贫血患者进行了研究。研究人员观察、分析了红细胞组织图,并将其与外周涂片相关联。在全部 300 名患者中,最常见的贫血症是小红细胞低色素性贫血(60%)、正常红细胞正常色素性贫血(21.33%)、二形性贫血(12.33%)和大红细胞性贫血(6%)。95.5% 的小红细胞低色素性贫血显示左移曲线,84.3% 的正常红细胞正常色素性贫血显示正常曲线,88% 的大红细胞性贫血显示右移曲线。考虑到现代血液分析仪的速度、可靠性和观察者之间的差异较小,红细胞直方图是诊断各种类型贫血的重要工具,在大多数情况下可提供准确的贫血形态学分型,因此可根据红细胞直方图发布推定报告。
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