500例贫血患者骨髓细胞学检查结果回顾性分析

Retrospective analysis of bone marrow cytomorphology examination of 500 etiological diagnosis of anemia patients

目的探讨骨髓形态学检查在贫血患者病因诊断中的临床应用价值。方法从临床症状、骨髓形态学检查和铁染色等不同角度对500例贫血患者进行病因学统计和分析。结果 500例贫血患者通过细胞学检查并结合临床资料分析,能够确诊者占88.4%(442/500),其中,由非造血系统引起的贫血占46.0%(230/500),由造血系统引起的贫血占42.4%(212/500)。结论骨髓细胞形态学检查在贫血患者病因诊断中具有重要的参考价值;临床常见的贫血患者主要由非造血系统引起,然而由造血系统引起的贫血也占很大比例,也值得临床注意。

Objective To investigate the significance of bone marrow cytomorphology examination of anemia patients for the etiolgical diagnosis of anemia.Methods The data were analyzed in 500 anemia patients from their clinical symptoms,bone marrow cytomorphology examination and iron-stain.Results Among the 500 patients with anemia,88.4% could be identified by the bone marrow cytomorphology examination combined with the clinical data There were 46.0%（230/500） anemia patients mainly caused by non-hematopoietic system and 42.4%（212/500） by hematopoietic system.Conclusion Bone marrow cytomorphology examination has significant clinical value for the etiological diagnosis of anemia.Anemia is mainly caused by non-hematopoietic system.However,the non-hematopoietic accounts for a certain percentage.It should be paid more attention to.