| 城市老年人巨幼细胞贫血41例临床分析 |
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| 引用本文： | 刘薇.城市老年人巨幼细胞贫血41例临床分析[J].中国医药导刊,2011,13(9):1490-1491. |
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| 作者姓名： | 刘薇 |
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| 作者单位： | 北京市健宫医院血液科,北京,100054 |
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| 摘 要： | 目的:探讨城市老年人巨幼细胞贫血的临床特点。方法:对41例老年人巨幼细胞贫血患者的临床资料进行回顾性分析。结果:老年人巨幼细胞性贫血的发病原因主要为胃肠道疾病和膳食不合理;患者临床症状不典型;出现全血细胞减少21例(占51.2%)血清乳酸脱氢酶升高30例(占73.1%),总胆红素升高17例(占41.5%);误诊13例(误诊率31.7%)对叶酸、维生素B12治疗效果好。结论:老年人MA患者全血细胞减少发生率高,临床易出现漏诊和误诊。治疗同时应注意原发病和并发症的治疗。
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| 关 键 词： | 巨幼细胞贫血 老年人 临床分析 |
Clinical Analysis of 41 Cases with Megaloblastic Anemia in The City Elderly |
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| Liu Wei.Clinical Analysis of 41 Cases with Megaloblastic Anemia in The City Elderly[J].Chinese Journal of Medicinal Guide,2011,13(9):1490-1491. |
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| Authors: | Liu Wei |
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| Institution: | Liu Wei (Department of Hematology of Beijing Jiangong Hospital,Beijing 100054,China) |
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| Abstract: | Objective:To explore the clinical characteristics of cases with megaloblastic anemia(MA) in the city elderly. Methods:Retrospective study was undertaken to analyze clinical data of 41 elderly cases with MA.Results:The main causes of MA were gastrointestinal tract diseases and abnormal dietary habit;clinical symptoms of MA patients were not typical;21 cases(51.2%) occurred pancytopenia;Lactate dehydrogenase and bilirubin increased in 30 cases(73.1%) and 17 cases(41.5%) respectively;31.7%of cases with eldly MA were misdiagnosed.The response to folic acid and vetamin B12 of all 41 cases was well.Conclusion:MA in the elderly has a incidence rate with pancytopenia,and they are easy to be misdiagnosed.Treatment in the meantime should notice primary diseases and complications. |
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| Keywords: | Megaloblastic anemia Elderly Clinical analysis |
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