Neutrophils
Science popularization in China
The certification expert of this term is
catalog
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one Normal reference value -
▪ Normal value -
▪ Abnormal indicators -
▪ Result error -
▪ Indicator interpretation -
▪ Index identification
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two High indicators -
▪ Reasons for high -
▪ Indication for medical treatment -
▪ inspect -
▪ Treatment mode -
▪ Dietary guidance
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TCM disease name -
Neutrophils -
Foreign name -
Neutrophil -
Visiting department -
blood specialty -
Multiple population -
All groups -
Common location -
blood
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Common causes -
Acute infection , trauma, Rheumatic disease ， Aplastic anemia -
common symptom -
Fever abdominal pain , cough Muscle soreness , dizziness, bleeding -
Related drugs -
Penicillins ， Cephalosporins ， Macrolide antibiotics ， methotrexate ， Glucocorticoid ， Colchicine ， Allopurinol etc.
Adult: 50%~70%. Newborns and infants: 31%~40%. Children: 50%~70%.
Adult: (1.5~8.0) × 10 ^ 9/L. Newborn: (6.0~26.0) × 10 ^ 9/L. 28 days~<6 months: (0.6~7.5) × 10 ^ 9/L 6 months~<1 year: (0.8~6.4) × 10 ^ 9/L 1~<2 years old: (0.8~5.8) × 10 ^ 9/L 2~<6 years old: (1.2~7.0) × 10 ^ 9/L 6~<13 years old: (1.6~7.8) × 10 ^ 9/L 13~18 years old: (1.8~8.3) × 10 ^ 9/L
Disease factors
Non disease factors
Acute infection : The doctor will first conduct C-reactive protein, erythrocyte sedimentation rate and other tests to initially determine whether the patient has infection or inflammatory reaction; Secondly, doctors will collect blood, pus and other samples of patients for bacterial culture according to the situation, so as to clearly diagnose and judge the pathogen. trauma : The doctor will initially judge whether the patient has body surface trauma through physical examination; Secondly, doctors will pass X-ray examination , CT or MRI Scan to determine whether the patient has tissue and organ trauma, and judge the severity of the trauma. Rheumatic disease : First, the doctor will pass the C-reactive protein 、 Erythrocyte sedimentation rate And blood biochemical tests to determine whether the patient has inflammatory reaction and metabolic disorder; Secondly, doctors will determine whether the patient has rheumatic disease through immunological tests such as anti nuclear antibody and rheumatoid factor.
Physiological neutrophil elevation: usually without special clinical significance, no treatment is needed. Acute infection: For patients with acute infection, doctors will first determine the location of infection and the type of bacteria, and then select specific antibiotics for treatment according to the corresponding location and type of bacteria. Common antibiotics include penicillin, cephalosporins, macrolides, etc. If the antibiotic treatment fails, the doctor will also decide whether to remove the infected focus and drain it through surgery according to the patient's condition. Trauma: for the neutrophil elevation caused by trauma, the doctor will treat the wound with a combination of drug treatment and surgical treatment to treat and prevent infection when the injury site and severity are clear. Rheumatic disease: For patients with rheumatic disease, doctors will first control the condition through drug treatment. Common drugs include NSAIDs 、 methotrexate 、 Glucocorticoid 、 Colchicine and Allopurinol For patients with serious illness, doctors may choose surgical treatment at their discretion.
Diet recommendation: Patients with elevated neutrophils should eat a light diet and eat more fresh vegetables and fruits, soy products, eggs, milk and various cereal products. Diet taboo: It varies according to the diseases that cause neutrophil elevation. For example, patients with gout should eat less foods with high purine content, such as Animal viscera , pork, beef, mutton, seafood, etc. Avoid excessive spicy and stimulating food and sweets.
Lifestyle: Quit smoking and drinking, work and rest regularly, avoid staying up late and overwork, ensure adequate sleep, and adjust your attitude in time. Patients after surgery should take medicine according to the doctor's advice and take regular reexamination. Exercise: Take proper exercise to strengthen the physique and improve the immunity of the body, but pay attention to taking protective measures during exercise, such as wearing knee pads, wrist pads, elbow pads, etc.
High neutrophils can be cured. After a clear diagnosis, doctors will take appropriate treatment measures. After active and regular treatment, most patients' neutrophils will return to normal. Most patients do not need reexamination after recovery, but some patients may need reexamination due to serious illness, and it is recommended to follow the doctor's advice.
Disease factors
Non disease factors
Infection: if suspected bacterial infection The doctor will first conduct a wida test to preliminarily determine whether the patient is infected with salmonella typhi; Secondly, doctors will collect blood, pus, feces, urine and other samples of patients for bacterial culture according to the situation, so as to make a clear diagnosis and determine the pathogen. If virus infection is suspected, doctors will first make early diagnosis through virus PCR test, and then further confirm the diagnosis through virus isolation and serum immunology test. Aplastic anemia : If the patient is suspected to have aplastic anemia, the doctor will make a clear diagnosis through bone marrow biopsy, and find the possible cause of the disease through immunological examination.
Infection: doctors will select appropriate drugs for symptomatic, antibacterial or antiviral treatment on the basis of identifying the infection site and pathogen. Common drugs include antipyretic and analgesic drugs, ribavirin, oseltamivir, lamivudine, ofloxacin, cephalosporin, etc. Aplastic anemia: First, doctors will take symptomatic treatment measures such as blood transfusion, hemostasis and infection control to control the patient's condition; Secondly, doctors will use anti lymphocyte/thymocyte globulin, cyclosporine, androgen, hematopoietic growth factor and other drugs to try to treat the cause to alleviate the condition. In addition, if the conditions are met, but the above treatment effect is not good, the doctor will recommend to accept hematopoietic stem cell transplantation. Physical and chemical factors injury: First, the doctor will let the patient immediately get rid of physical and chemical poisons, and protect the injured part of the patient. Secondly, doctors will control inflammatory reaction and prevent infection through drug treatment as appropriate, and surgery may be required when necessary. Drug effect: If neutropenia is related to the drug, the doctor will ask the patient to stop or change the medicine to reduce the side effects of the drug.
Diet recommendation: Patients with low neutrophils should appropriately eat more food rich in trace elements and high-quality protein, such as fresh vegetables and fruits, fish, chicken, milk and eggs. Diet taboo: patients with low neutrophils should eat less spicy and stimulating food, such as pepper, garlic, onion, etc.
Lifestyle: quit smoking and drinking, work and rest regularly, avoid staying up late and overwork, ensure adequate sleep, and adjust your mind in time. Exercise: Take proper exercise to strengthen the body, improve the immunity of the body, take protective measures during exercise, and avoid dangerous exercise. Others: pay attention to personal hygiene, wash hands and disinfect frequently, and pay attention to the hygiene of drinking water.
