| 红细胞参数及铁代谢指标在鉴别缺铁性贫血与慢性病贫血中的临床意义 |
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| 引用本文： | 胡恒贵,秦淑国.红细胞参数及铁代谢指标在鉴别缺铁性贫血与慢性病贫血中的临床意义[J].检验医学与临床,2013,10(4):419-420. |
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| 作者姓名： | 胡恒贵 秦淑国 |
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| 作者单位： | 安徽省宿州市皖北煤电集团总医院检验科,234000 |
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| 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。方法测定以上两种贫血患者标本的红细胞参数：平均血红蛋白含量（Hb）、平均红细胞体积（MCV）、平均血红蛋白含量（MCH）、平均红细胞血红蛋白浓度（MCHC）、铁代谢指标铁蛋白（SF）、转铁蛋白（TRF）,并对结果进行统计学分析。结果 IDA组与ACD组比较,IDA组Hb、MCV、MCH、MCHC、SF均明显降低,但TRF增高,差异具有统计学意义（P〈0.05）。结论红细胞参数及铁代谢指标结合检测可以作为IDA与ACD的鉴别诊断简便有价值的指标。
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| 关 键 词： | 红细胞参数 铁蛋白 缺铁性贫血 慢性病贫血 |
The clinical significance of red blood cell parameters and iron metabolism index in the differential diagnosis of iron deficiency anemia and the anemia of chronic disease |
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| HU Heng-gui,QIN Shu-guo.The clinical significance of red blood cell parameters and iron metabolism index in the differential diagnosis of iron deficiency anemia and the anemia of chronic disease[J].Laboratory Medicine and Clinic,2013,10(4):419-420. |
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| Authors: | HU Heng-gui QIN Shu-guo |
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| Institution: | (Department of Clinical Laboratory,General Hospital of Wanbei Coal-electricity Group,Suzhou,Anhui 234000,China) |
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| Abstract: | Objective To explore the laboratory differential diagnosis of iron-deficiency anemia（IDA） and anemia of chronic disease（ACD）,in order to improve the diagnostic level.Methods The following red blood cell parameters of the above 2 kinds of anemia patients＇ specimens were detected：Hb,MCV,MCH,MCHC,iron metabolism indexes of ferritin（SF） and transferrin（TRF）,and the results were statistically analyzed.Results Compared with the ACD group,Hb,MCV,MCH,MCHC,SF of the IDA group decreased significantly,but TRF increased.The difference was statistically significant（P〈0.05）.Conclusion The combined detection of red blood cell parameters and iron metabolism index can be the simple and valuable indexes for the differential diagnosis of IDA and ACD. |
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| Keywords: | red cell parameters ferritin iron deficiency anemia anemia of chronic disease |
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