Tri M. Ibrahim, Glady I. Rambert, Siemona L. E. Berhimpon
{"title":"Gambaran Hematologi pada Wanita Hamil Trimester 3 yang Terkonfirmasi Positif SARS-CoV-2 di RSUP Prof. Dr. R.D. Kandou Periode Juli-September 2020","authors":"Tri M. Ibrahim, Glady I. Rambert, Siemona L. E. Berhimpon","doi":"10.35790/ebm.v9i1.31850","DOIUrl":null,"url":null,"abstract":"Abstract: Pregnancy is a condition of physiological and mechanical changes in the body that can reduce the ability of the immune system. During pregnancy, the normal changes that occur can be observed on the hematological index. There are studies that have found decreased levels of lymphocytes and monocytes, total leukocytes, increased platelet counts, and increased Hb in pregnant women infected with SARS-CoV-2. This study aimed to determine an overview of leucocytes, differential counting and platelets in 3rd trimester pregnant women. This research is a descriptive type of retrospective study, by collecting secondary data from medical record status. There were 26 samples of pregnant women in trimester 3 who were confirmed positive for SARS-CoV-2, 17 patients (65%) had an increase in the number of leukocytes. Differential counting was decreased stem neutrophils in 13 patients (50%), normal segment neutrophils in 16 patients (62%), decreased lymphocytes in 13 patients (50%), decreased eosinophils in 14 patients (54%), monocytes increased only in 2 patients (8%) and basophils were normal in all patients. 100% normal platelet count in all samples. In conclusion, the hematological features obtained are leukocytosis, decreased stem neutrophils, 62% normal segment neutrophils, lymphopenia, eosinopenia. normal 92% monocytes are normal, basophils and platelets within normal limits.Keywords: SARS-CoV-2, pregnant women, leukocytes, differential counting, thrombocyte Abstrak: Kehamilan merupakan suatu kondisi perubahan fisiologis dan mekanis tubuh yang dapat berdampak pada penurunan kemampuan sistem kekebalan tubuh. Selama kehamilan, perubahan normal yang terjadi dapat diamati pada indeks hematologi. Terdapat penelitian yang menemukan penurunan kadar limfosit dan monosit, total leukosit, peningkatan jumlah trombosit, dan peningkatan Hb pada wanita hamil yang terinfeksi SARS-CoV-2. Tujuan penelitian ini untuk mengetahui gambaran leukosit, differential counting dan trombosit pada wanita hamil trimester 3. Penelitian ini merupakan jenis penelitian deskriptif dengan studi retrospektif, yaitu dengan mengumpulkan data sekunder berupa data dari status rekam medik. Terdapat 26 sampel wanita hamil trimester 3 yang terkonfirmasi positif SARS-CoV-2, 17 pasien (65%) mengalami peningkatan jumlah leukosit. Differential counting yaitu neutrofil batang menurun pada 13 pasien (50%), neutrofil segmen normal pada 16 pasien (62%), limfosit menurun pada 13 pasien (50%), eosinofil menurun pada 14 pasien (54%), monosit meningkat hanya pada 2 pasien (8%) dan basofil dalam jumlah normal pada semua pasien. Jumlah trombosit 100% normal pada semua sampel. Sebagai simpulan, gambaran hematologi yang didapatkan yaitu leukositosis, penurunan neutrofil batang, neutrofil segmen 62% normal, limfopenia, eosinopenia. monosit 92% normal, basofil dan trombosit dalam batas normal.Kata kunci : SARS-CoV-2, wanita hamil, leukosit, differential counting, trombosit ","PeriodicalId":17693,"journal":{"name":"Jurnal e-Biomedik","volume":"20 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Jurnal e-Biomedik","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.35790/ebm.v9i1.31850","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
Abstract: Pregnancy is a condition of physiological and mechanical changes in the body that can reduce the ability of the immune system. During pregnancy, the normal changes that occur can be observed on the hematological index. There are studies that have found decreased levels of lymphocytes and monocytes, total leukocytes, increased platelet counts, and increased Hb in pregnant women infected with SARS-CoV-2. This study aimed to determine an overview of leucocytes, differential counting and platelets in 3rd trimester pregnant women. This research is a descriptive type of retrospective study, by collecting secondary data from medical record status. There were 26 samples of pregnant women in trimester 3 who were confirmed positive for SARS-CoV-2, 17 patients (65%) had an increase in the number of leukocytes. Differential counting was decreased stem neutrophils in 13 patients (50%), normal segment neutrophils in 16 patients (62%), decreased lymphocytes in 13 patients (50%), decreased eosinophils in 14 patients (54%), monocytes increased only in 2 patients (8%) and basophils were normal in all patients. 100% normal platelet count in all samples. In conclusion, the hematological features obtained are leukocytosis, decreased stem neutrophils, 62% normal segment neutrophils, lymphopenia, eosinopenia. normal 92% monocytes are normal, basophils and platelets within normal limits.Keywords: SARS-CoV-2, pregnant women, leukocytes, differential counting, thrombocyte Abstrak: Kehamilan merupakan suatu kondisi perubahan fisiologis dan mekanis tubuh yang dapat berdampak pada penurunan kemampuan sistem kekebalan tubuh. Selama kehamilan, perubahan normal yang terjadi dapat diamati pada indeks hematologi. Terdapat penelitian yang menemukan penurunan kadar limfosit dan monosit, total leukosit, peningkatan jumlah trombosit, dan peningkatan Hb pada wanita hamil yang terinfeksi SARS-CoV-2. Tujuan penelitian ini untuk mengetahui gambaran leukosit, differential counting dan trombosit pada wanita hamil trimester 3. Penelitian ini merupakan jenis penelitian deskriptif dengan studi retrospektif, yaitu dengan mengumpulkan data sekunder berupa data dari status rekam medik. Terdapat 26 sampel wanita hamil trimester 3 yang terkonfirmasi positif SARS-CoV-2, 17 pasien (65%) mengalami peningkatan jumlah leukosit. Differential counting yaitu neutrofil batang menurun pada 13 pasien (50%), neutrofil segmen normal pada 16 pasien (62%), limfosit menurun pada 13 pasien (50%), eosinofil menurun pada 14 pasien (54%), monosit meningkat hanya pada 2 pasien (8%) dan basofil dalam jumlah normal pada semua pasien. Jumlah trombosit 100% normal pada semua sampel. Sebagai simpulan, gambaran hematologi yang didapatkan yaitu leukositosis, penurunan neutrofil batang, neutrofil segmen 62% normal, limfopenia, eosinopenia. monosit 92% normal, basofil dan trombosit dalam batas normal.Kata kunci : SARS-CoV-2, wanita hamil, leukosit, differential counting, trombosit
摘要:妊娠是机体生理和机械变化的一种状态,可以降低免疫系统的能力。在怀孕期间,可以在血液学指标上观察到正常的变化。有研究发现,感染SARS-CoV-2的孕妇淋巴细胞和单核细胞水平下降,白细胞总数增加,血小板计数增加,Hb升高。本研究旨在确定在妊娠晚期妇女白细胞,鉴别计数和血小板的概述。本研究是一种描述性的回顾性研究,通过收集病历状态的二手数据。妊娠3期孕妇样本中有26例确诊为SARS-CoV-2阳性,17例(65%)患者白细胞数量增加。鉴别计数中,干中性粒细胞减少13例(50%),正常节段中性粒细胞16例(62%),淋巴细胞减少13例(50%),嗜酸性粒细胞减少14例(54%),单核细胞仅增加2例(8%),所有患者嗜碱性粒细胞正常。所有样本的血小板计数100%正常。结论:血液学特征为白细胞增多,干中性粒细胞减少,正常节段中性粒细胞62%,淋巴细胞减少,嗜酸性粒细胞减少。92%的单核细胞正常,嗜碱性细胞和血小板正常。关键词:SARS-CoV-2,孕妇,白细胞,鉴别计数,血小板。Selama kehamilan, perubahan正常杨,terjadi, dapat, diamati, patada血液学指标。Terdapat penelitian yang menemukan penurunan kadar limfosit dan monoosis, total leukoosis, peningkatan jumlah trobosit, dan peningkatan Hb padwanita hamil yang terinfeksi SARS-CoV-2。3.妊娠期初,吐胡麻白斑、白斑、白斑、白斑、白斑鉴别计数、白斑、白斑。Penelitian ini merupakan jenis Penelitian desktop - dengan研究回顾,yitu dengan mengumpulkan数据采集在berupa数据采集状态下的研究。结果:26例孕妇妊娠期3例阳性,17例(65%)急性白化。鉴别计数分别为:中性粒细胞巴坦- menurun - 13(50%),中性粒细胞节段-正常- 16(62%),轻度粒细胞- menurun - 13(50%),嗜酸性粒细胞- menurun - 14(54%),单胞性脑膜炎- hanya - 2(8%),碱性粒细胞- dalam - jumlah -正常- semua - pasen。Jumlah troboth是100%正常的帕达semua样本。白细胞增多症,中性粒细胞减少,中性粒细胞节段62%正常,白血球减少,白血球减少。单药92%正常,basofil Dan trombost dalam batas正常。Kata kunci: SARS-CoV-2, wanita hamil,白细胞,鉴别计数,血小板