Red blood cells

Introduction The arrangement of red blood cells in a string is small in the area of exchange of oxygen in plasma, causing hypoxia in the blood, increasing plasma viscosity, slow blood flow, aggravating the lack of oxygen supply in the whole body, and causing obvious obstacles in the whole microcirculation. When the concentration of macromolecular protein in plasma increases and the negative charge on the surface of red blood cells decreases, the electrostatic repulsion between red blood cells decreases, which causes the accumulation of red blood cells to increase, and it is easy to form a string or accumulate into a block. Be emotionally stable, keep your mood comfortable, avoid excessive mental stress, and regular life.

Cause

When the concentration of macromolecular protein in plasma increases and the negative charge on the surface of red blood cells decreases, the electrostatic repulsion between red blood cells decreases, which causes the accumulation of red blood cells to increase, and it is easy to form a string or accumulate into a block. In patients with multiple myeloma nephropathy, blood smears can show red blood cells in a string shape, and later white blood cells and platelets are also reduced. Red blood cells in a string shape can interfere with blood type tests. A variety of sub-health symptoms, microscopic diagnosis can also appear red blood cell lemon-like, red blood cells in a string or pile.

an examination

Related inspection

Blood routine red blood cell volume index red blood cell osmotic fragility test red blood cell life erythropoietin

Red blood cell string formation is manifested by red blood cells like coins (coins) stacked in a string. By tapping the glass, the formation of red blood cells is easily separated from the red blood cell aggregation. When shaken, the red blood cells disappeared into a single scattered red blood cell. Its shape and appearance returned to normal. This is not the case with red blood cell aggregation.

Differential diagnosis

Early or atypical cases are easily misdiagnosed as chronic refractory nephritis, pyelonephritis, aplastic anemia, rheumatoid arthritis, cirrhosis, metastases, etc. Therefore, elderly and middle-aged patients with unexplained erythrocyte sedimentation rate, anemia, renal insufficiency, repeated infection, and bone and joint pain must undergo serum protein electrophoresis, bone marrow aspiration, and bone X-ray examination to confirm the diagnosis. Red blood cell string formation is manifested by red blood cells like coins (coins) stacked in a string. By tapping the glass, the formation of red blood cells is easily separated from the red blood cell aggregation. When shaken, the red blood cells disappeared into a single scattered red blood cell. Its shape and appearance returned to normal. This is not the case with red blood cell aggregation.

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