重度贫血140例病因分析  

Analysis of Cause of Severe Anemia in 140 Patients

作　　者：钟传祥[1] 丁江华[1] 张维[1] 

机构地区：[1]解放军第171医院内一科,江西九江332000

出　　处：《实用临床医学（江西）》2006年第11期29-30,共2页Practical Clinical Medicine

摘　　要：目的:探讨重度贫血的病因。方法:对140例重度贫血患者均行血常规、铁蛋白、叶酸与维生素B12测定及骨髓细胞学检查,然后根据病情选择性行胃肠镜、肝肾功能、溶血方面实验室检查及甲状腺功能、肝炎标志物、出凝血常规检测等。结果:140例重度贫血患者中,非血液系统病因比例居首位(53.6%),其中胃肠道疾病最常见(32.9%),其次为内分泌疾病(2.9%)与肾脏疾病(2.1%);血液系统疾病比例占46.4%,其中以白血病最常见(26.4%);其次为再生障碍性贫血(13.7%)。结论:临床上引起重度贫血的原因以胃肠道疾病、白血病、再生障碍性贫血等多见。Objective. To explore the causes of severe anemia（SA）. Methods： In all the SA,blood test,serum ferritin （SF）, folacin and vitamin B12 levels and bone marrow cytology examination were done. Then gastroscopy, colonoscopy, liver and kidney function test, hemolytic laboratory indicators,serum thyroid studies and serological markers of viral hepatitis were done as needed. Results： Among 140 patients with SA, the percentage of non-hematology diseases was 53.6%, such as gastro-intestinal diseases（46. 6%）, endocrine diseases（2. 9%）, and kidney diseases（2. 1%）. Gastro-intestinal diseases were the raost popular, the percentage of hematoltgy diseases was 46.4%. Of them,the most common disease was leukemia （26.4%）,the second was aplastic anemia（13. 7%）. Conclusion： The main reasons of SA are gastro-intestinal diseases, leukemia and aplastic anemia.

关 键 词：贫血 重度 病因 

分 类 号：R556[医药卫生—血液循环系统疾病]