基层医疗机构呼吸病理科嗜酸性粒细胞血细胞计数评估

Pub Date : 2024-03-13 DOI:10.1016/j.semerg.2024.102193
G. Rodríguez Parejo , M. Carmona González , C. Montero-Peña , D. Murillo García
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摘要

一般来说,大多数医生,尤其是家庭医生,在要求进行血液学检查时都熟悉某些参数,如血红蛋白(包括血细胞比容及其特征)、白细胞(包括淋巴细胞)和血小板。然而,有两个值是我们经常忽略的,它们是嗜酸性粒细胞和嗜碱性粒细胞。嗜酸性粒细胞在过敏性病变时有增加的趋势。本文将重点讨论这类细胞,帮助解释所获得的数值,并强调它们在初级医疗中最常见的两种呼吸系统病变中的重要性:哮喘和慢性阻塞性肺病。此外,本文还观察了这些参数的增加或正常对诊断、表型甚至治疗的影响。
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Valoración del recuento sanguíneo de eosinófilos en la patología respiratoria desde atención primaria

Most physicians in general, and family physicians in particular, are familiar with certain parameters when ordering a hematological study, such as hemoglobin (including hematocrit and its features), leukocytes (including lymphocytes) and platelets. Nevertheless, there are two values that we use to overlook which are eosinophils and basophils. Specifically, eosinophils have a tendency to increase with allergic pathology.

This article focuses on this type of cells, helping to interpret the values obtained and highlighting their importance in two of the most frequent respiratory pathologies in primary care: asthma and COPD. In addition to observing how the increase or normality of these parameters condition the diagnosis, phenotype and even the treatment.

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