缺铁性贫血50例诊断体会

The Experience of Diagnose and Treatment of Iron-deficiency Anemia

通过50例 IDA 病因的诊断,了解胃镜及病理诊断对该病的重要性。方法:根据病史、大便潜血、大便查钩虫卵、骨髓细胞学、胃镜及病理学、Hb、红细胞分析、SF 测定等指标分析50例患 IDA 患者。结果:9例为胃大部切除术后;10例为月经血过多;15例做胃镜检查均为溃疡或慢性浅表性胃炎,其中6例无临床胃病症状;2例为钩虫感染;不明原因及其他12例。结论:对查不出任何贫血原因又无胃病症状者,同样必需重视胃镜及病理、大便潜血检查。

To know the importance of diagnoses and treatment of gastrodiaphanoscope and pathol- ogy by pathogen diagnose of iron deficiency anemia(IDA).Methods:50 cases of IDA were analyzed according to history of illness,OB,hookworm egg,marrow cytology,gastrodi- aphanps copy,pathology,Hb,anallying red cell and SF determine.Result:9 cases were caused by gastrectomy;10 cases by overflow of menses;15 cases by peptic ulcer of superficial gastri- tis and there is no phenotype in 6 cases,2 cases by hookworm infecting,12 cases others.Con- clusion:it is important to emphasize the examination gastrodiaphanoscopy,pathology and OB when being confronted with anemin while there is no cause or gastric symptom.