Haematology 血液學 - COMPLETE BLOOD COUNT全血計數

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根據您提供的全血計數報告，這是一份常規的血液學檢查，用來評估整體健康狀況、貧血、感染或發炎等多種情況。以下為各項目的詳細解讀：

### **整體評估**

**報告顯示絕大多數指標均在正常參考範圍內**，表明您的血液基本狀況良好，無明顯急性感染、貧血或凝血功能異常。

### **分項解讀**

#### **1. 白血球相關**

- **白血球總數 (WBC)：6.49** ✅ 正常  

  表示目前無明顯細菌或病毒感染。

- **白血球分類 (Differential Count)**  

  - **嗜中性白血球 (Neutrophils)：66.63%** ✅ 正常  

    主要負責對抗細菌感染，數值正常表示無急性細菌感染。

  - **淋巴球 (Lymphocytes)：27.43%** ✅ 正常  

    與免疫功能相關，正常範圍內。

  - **單核球、嗜酸性、嗜鹼性白血球** 均在正常範圍，無過敏或寄生蟲感染跡象。

- **絕對計數 (Absolute Count)**  

  所有項目均正常，進一步確認白血球各類別數量無異常。

#### **2. 紅血球相關**

- **血紅素 (Haemoglobin)：13.11 g/dL**  

  - 略低於男性參考下限 (13.5)，但仍在女性正常範圍內 (11.9–16)。  

  - 若為男性，可能屬**輕微偏低**，但通常無臨床症狀，可能與營養、水分攝取或個體差異有關。

- **紅血球計數 (RBC)：3.83 × 10^12/L**  

  - 同樣略低於男性參考值，但於女性範圍內。

- **紅血球平均體積 (MCV)：102 fL** ⚠️ **偏高**  

  - 表示紅血球體積較大，可能屬於**大細胞性貧血**的傾向，常見原因包括：

    - 維生素B12或葉酸缺乏

    - 酒精攝取過多

    - 甲狀腺功能低下

  - 需結合其他指標（如MCH、MCHC）及臨床症狀進一步評估。

- **MCH、MCHC、RDW** 均正常，表示紅血球內血紅素含量及大小分佈無明顯異常。

- **紅血球壓積量 (Hematocrit)：39.1%**  

  - 略低於男性下限，但於女性正常範圍。

#### **3. 血小板相關**

- **血小板數目 (Platelet Count)：234.4 × 10^9/L** ✅ 正常  

  表示凝血功能正常，無出血或血栓風險。

### **總結與建議**

1. **整體良好**：無明顯感染、發炎或血液系統疾病跡象。

2. **紅血球部分輕微異常**：

   - 若為**男性**，血紅素與紅血球計數略低，MCV略高，建議：

     - 注意營養均衡，確保攝取足夠的**維生素B12、葉酸、鐵質**（如綠葉蔬菜、肉類、豆類）。

     - 避免過度飲酒。

     - 如有疲勞、頭暈等症狀，可諮詢醫生進一步檢查（如維生素水平、甲狀腺功能）。

   - 若為**女性**，則這些數值均在正常範圍內，無需擔心。

3. **建議追蹤**：若無症狀，可視為個體差異；如有不適，建議諮詢**家醫科或血液科**醫師。

如果需要進一步分析或您有其他症狀，建議提供更多背景信息（如性別、年齡、是否有疲勞、頭暈等症狀），以便給予更貼切的建議。 

# **Complete Blood Count (CBC) Interpretation**

### **Component Analysis**

#### **1. White Blood Cells (WBCs - Infection & Immune Cells)**

*   **Total WBC Count: 6.49** ✅ **Normal**

    *   Indicates no current significant bacterial or viral infection.

*   **Differential Count (WBC Types)**

    *   **Neutrophils: 66.63%** ✅ **Normal**

        *   The primary cells for fighting bacterial infections. Normal levels suggest no acute bacterial infection.

    *   **Lymphocytes: 27.43%** ✅ **Normal**

        *   Key for immune function and fighting viruses. Within normal range.

    *   **Monocytes, Eosinophils, Basophils:** All percentages are normal.

        *   No indication of allergic reactions, parasitic infections, or chronic inflammatory conditions.

*   **Absolute Counts:** All values are normal, confirming the proportions seen in the differential count.

#### **2. Red Blood Cells (RBCs - Oxygen Carriers)**

*   **Hemoglobin (Hb): 13.11 g/dL**

    *   **Slightly below** the male reference lower limit (13.5) but well within the female range (11.9–16).

    *   If you are **male**, this represents a **mild decrease** which is often not clinically significant and can be related to hydration, nutrition, or normal variation.

*   **Red Blood Cell Count (RBC): 3.83**

    *   Similar to hemoglobin, slightly low for male reference but normal for female.

*   **Mean Corpuscular Volume (MCV): 102 fL** ⚠️ **High**

    *   This indicates your red blood cells are **larger than average**. This is seen in **macrocytic anemia**, common causes of which include:

        *   Vitamin B12 or Folate (Vitamin B9) deficiency

        *   Excessive alcohol consumption

        *   Liver disease or hypothyroidism

    *   Should be evaluated in context with other indices and clinical symptoms.

*   **MCH, MCHC, RDW:** All are normal, meaning the hemoglobin content inside your red cells and their size variation are typical.

*   **Hematocrit (HCT): 39.1%**

    *   Pattern is similar to hemoglobin: slightly low for a male, normal for a female.

#### **3. Platelets (Clotting Cells)**

*   **Platelet Count: 234.4** ✅ **Normal**

    *   Indicates normal blood clotting ability, with no increased risk of bleeding or excessive clotting.

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### **Summary & Recommendations**

1.  **Overall Good Health:** Your CBC shows no alarming signs of infection, inflammation, or blood disorders.

2.  **Mild Red Blood Cell Findings:**

    *   If you are **male**, the slightly low hemoglobin/RBC count combined with a high MCV suggests a trend toward **mild macrocytic anemia**.

    *   **Recommendations:**

        *   Ensure a balanced diet rich in **Vitamin B12** (meat, eggs, dairy) and **Folate** (leafy greens, legumes, citrus).

        *   Limit alcohol intake.

        *   If you experience symptoms like unusual fatigue, dizziness, or shortness of breath, consult a doctor. They may recommend checking your **Vitamin B12, Folate levels, and Thyroid Function**.

    *   If you are **female**, your red blood cell indices are all within normal limits.

3.  **Next Steps:** In the absence of symptoms, these minor deviations may simply be normal for you. For personalized advice, please discuss this report with your **primary care physician or a hematologist**, especially if you have any ongoing health concerns.

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**Disclaimer:** This interpretation is for educational purposes only and is not a substitute for professional medical advice. Always consult with your healthcare provider for diagnosis and treatment.

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