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Коментар до матеріалу | Журнал Доктора Комаровського

Пневмония. Часть 1

Коментар до матеріалу

Б

Бахарева Елена Арсеньевна

on 08 листопада 2021, 20:43

Здравствуйте Евгений Олегович! У меня вопрос, на который в ваших источниках не нашла ответ. Говорит ли о бактериальной инфекции %- ное соотношение лейкоцитов и нейтрофилов, если в целом и те и те находятся в пределах нормы? (Врач сказал, что если лейкоциты к нейтрофилам относятся не как 60%/40%, то нужно пить антибиотики... Так ли это?

К

Кузин Максим Эдуардович

on 09 листопада 2021, 17:22

Добрый день. Вы, скорее всего, имеете ввиду не лейкоциты, а лимфоциты и ,именно, соотношение лимфоцитов к нейтрофилам. Лейкоциты-это общее название всех клеток, борющихся с инфекцией, опухолью, поврежденными клетками (нейтрофилы, лейкоциты, моноциты, эозинофилы, базофилы).
Отвечая на Ваш вопрос-нет, это не так. Соотношение лимфоцитов к нейтрофилам 50 и 50, 40 и 60 это не маркер бактериальной инфекции. Для примера норма нейтрофилов для взрослого одной из лабораторий:47 - 72 %.Намного важнее уровень абсолютного числа нейтрофилов и субпопуляций этих клеток (палочкоядерные,), который является одним из маркеров бактериальной инфекции.
У детей возрастом 12 месяцев в норме преобладают лимфоциты над нейтрофилами, но даже для них является нормой соотношение 45 - 75 %/16 - 45 % соответственно.

Б

Спасибо большое

В

Врач Ольга Георгиевна (Ассистент Еок)

on 17 листопада 2021, 07:02

Добрый день.
Ознакомьтесь со статьей "Клинический анализ крови" https://komarovskiy.net/articles/klinicheskij-analiz-krovi.html

В

Врач Ольга Георгиевна (Ассистент Еок)

Кузин Максим Эдуардович on 17 листопада 2021, 07:03

Также рекомендую Вам посмотреть видео "Клинический анализ крови" https://youtu.be/HFVp7euw7Oo