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  • 曹萍,蒋莎义,谢晓恬,等.儿童再生障碍性贫血淋巴细胞亚群及与血常规相关性的研究[J].同济大学学报(医学版),2011,32(6):70-73.    [点击复制]
  • CAO Ping,JIANG Sha-yi,XIE Xiao-tian,et al.Lymphocyte subsets and its correlation with blood count in children with aplastic anemia[J].同济大学学报(医学版),2011,32(6):70-73.   [点击复制]
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儿童再生障碍性贫血淋巴细胞亚群及与血常规相关性的研究
曹萍,蒋莎义,谢晓恬,周妮娜,李福兴,覃大卫
0
(同济大学附属同济医院儿科,上海200065)
摘要:
目的 研究再生障碍性贫血患儿外周血淋巴细胞亚群分布,及其与同期外周血血常规的相关性。方法 采用流式细胞技术对我院42例AA患儿和27例正常儿童外周血淋巴细胞亚群CD3,CD3CD4,CD3CD8,CD3CD4/CD3CD8,CD3CD45RA,CD3CD45RO,CD(16+56),CD19的表达进行检测,同时检测血常规。结果 再障组CD3CD4,CD3CD8,CD3CD4/CD3CD8的平均值分别为(26.94±11.93)%,(33.33±10.3)%,0.918±0.53,对照组分别为(33.53±9.97)%,(27.08±9.23)%,1.44±0.80,差异有显著性(P<0.05);CD3CD8与HB,WBC呈一定程度的正相关,CD3CD4/CD3CD8比值与HB,WBC,N呈一定程度的负相关。结论 再障患儿存在淋巴细胞亚群的失调,其中由T淋巴细胞介导的免疫异常对造血功能的抑制在再障的发生中起重要作用,再障患儿Th格局向Th1偏移。
关键词:  贫血  再生障碍性  淋巴细胞亚群  血常规  儿童
DOI:10.3969/j.issn1008-0392.2011.06.015
基金项目:
Lymphocyte subsets and its correlation with blood count in children with aplastic anemia
CAO Ping,JIANG Sha-yi,XIE Xiao-tian,ZHOU Ni-na,LI Fu-xing,QIN Da-wei
(Dept.of Pediatrics,Tongji Hospital,Tongji University,Shanghai 200065,China)
Abstract:
Objective To investigate the distribution of lymphocyte subsets in peripheral blood and its correlation with complete blood count in children with aplastic anemia.Methods The lymphocyte subsets CD3,CD3 CD4,CD3 CD8,CD3 CD4 VCD3 CD8,CD3 CD45RA,CD3 CD45RO,CD(16 +56),CD19from 42 aplastic anemia children and 27 controls were examined by flow cytometry;its correlations with complete blood count were analyzed.Results CD3 CD4 and CD3 CD4 VCD3 CD8 decreased while CD3 CD8 increased in aplastic anemia patients.CD3 CD8 was positively correlated with peripheral HB,WBC counts.CD3 CD4~+/CD3 CD8 was negatively correlated with peripheral HB,WBC and N counts.Conclusion There are abnormal distributions of lymphocyte subsets in aplastic anemia patients,which may be involved in pathogenesis of the disease.
Key words:  aplastic anemia  lymphocyte subsets  complete blood count  children

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