老年人巨幼细胞贫血误诊分析

目的探讨老年人巨幼细胞贫血的临床特点及误诊原因。方法对42例老年人巨幼细胞贫血住院患者的临床资料进行分析。结果以消化道症状入院16例,以非血液病入院25例,外周全血细胞减少26例,血清胆红素增高12例,误诊23例。结论老年人巨幼细胞贫血因其临床表现多样化故易被误诊,骨髓检查是确诊的重要依据。

Analysis of Misdiagnosis on Senile Megaloblastic Anemia

Objective To discuss the clinical features of senile megaloblastic anemia and its misdiagnosing cause. Methods The clinical data of 42 inpatients with senile megaloblastic anemia was analyzed. Results 16 patients were hospitalized because of digestive disorders, and 25 patients were hospitalize because of non - blood diseases. The number of Periphery complete blood cells decreased in 26 cases, the level of serum bilirubin increased in 12 cases, and there were 23 misdiagnosing cases. Conclusion Senile megaloblastic anemia is liable to be misdiagnosed because of its diverse manifestations. Bone marrow examination is the key to the ascertainment of this disease.