RDW-MCV贫血分类法的临床意义

Clinical significance of RDW-MCV classification method of anemia

为研究RDW /MCV分类法在临床中的应用 ,将EDTA盐抗凝血于K -4 5 0 0型血细胞分析仪上检测。结果可将贫血分为六类 ,即小细胞均一性 (如α、β -地贫 )、小细胞不均一性 (如缺铁性贫血 )、大细胞均一性、大细胞不均一性 (如巨幼贫 )、正细胞均一性 (大失血性贫血 )和正细胞不均一性。认为RDW /MCV给临床医生对贫血诊断及鉴别诊断提供很有价值的筛选和诊断指标 ,尤其是对小细胞性贫血 ,如IDA与α、β

In order to study the value of RDW/MCV classification on clinical application, blood, which was anti-coagulated by EDTA was detected using a blood cell analysor (type K-4500). As a result, anemia was classified into six types, i.e, microcytic homogeneity (for example, α ,β-thalassemia), microcytic non-homogeneity (for example, iron-deficiency anemia, IDA), macrocytic homogeneity, macrocytic non-homogeneity (for example, megaloblastic anemia), normal cell homogeneity (for example, massive hemorrhagic anemia) and normal cell non-homogeneity. This study indicates that RDW/MCV is a valuable marker in diagnosing and differentiating the diagnosis of anemia, especially for the screening and diagnosing of microcytic anemia, such as IDA and the light grade of α,β- thalassemia.