摘要
目的:探讨缺铁性贫血(IDA)和慢性病贫血(ACD)的实验室鉴别诊断,提高诊断水平。方法:测定以上2种贫血患者标本的红细胞参数(MCV、MCH、MCHC),铁代谢指标(SI、SF)及骨髓穿刺细胞学检查,并对结果进行统计学分析。结果:IDA组与ACD组比较,IDA组MCV、MCH、MCHC、SI、SF均明显降低,差异具有统计学意义。结果与骨髓穿刺,骨髓涂片结果相符。结论:红细胞参数及铁代谢指标结合在IDA与ACD的鉴别诊断中具有重要意义,避免患者骨髓穿刺的痛苦。
Objective： To investigate the laboratory methods for differential diagnosis between iron deficiency anemia（IDA） and anemia of chronic disease （ACD）, improving the level of diagnosis. Methods：Red blood cell parameters（MCV, MCH, MCHC）, iron metabolism index（SI,SF）and bone marrow smear were measured in all the patients, The results were statistically analyzed. Results：Compared IDA group with ACD group, MCV,MCH,MCHC,SI and SF in IDA group were significantly decreased. There was significantly difference in two groups, according to the results of the bone marrow smear results. Conclusion： The combination of red blood cell parameters and iron metabolism index had great significance in the differential diagnosis between IDA and ACD. It prevents the patients suffering from bone marrow puncture.
出处
《中国伤残医学》
2009年第3期13-14,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
红细胞参数
铁代谢指标
缺铰性贫血
慢性痛贫血
Red blood cell parameters Iron metabolism index Iron deficiency anemia Anemia of chronic disease
