【摘要】 目的　了解乙型肝炎肝硬化患者非消化道出血性贫血的病因。方法　应用红细胞平均值进行贫血的形态学分类和MCV/RDW分析法 ,分别对 5 2例乙型肝炎肝硬化患者进行检测分析 ,并将两种分析方法加以比较。结果　红细胞平均值形态学分类示 :正细胞性贫血 1 1例 ,小细胞低色素性贫血 3例 ,单纯小细胞性贫血 2例 ,大细胞性贫血 1例 ,无法分类者 35例 ;MCV/RDW法示 :正细胞不均一性贫血占 5 1 92 3% ( 2 7/ 5 2 ) ,大细胞不均一性贫血占 30 76 9% ( 1 6 / 5 2 ) ,小细胞不均一性贫血占1 3 4 6 2 % ( 7/ 5 2 ) ,大细胞均一性贫血占 1 92 3% ( 1 / 5 2 ) ,正细胞均一性贫血占 1 92 3% ( 1 / 5 2 )。结论　乙肝后肝硬化患者非消化道出血性贫血的原因主要为缺铁性和 (或 )叶酸缺乏性 ,MCV/RDW分析法具有较好的临床价值更多还原

【Abstract】 AIM To understand the reason of anemia for cirrhosis follwing hepatitis B with no gastrointestinal bleeding,METHODS To compare classification of red cell avergage value and mean corpuscular volume(MCV)/red cell distribution width(RDW)in 52 cirrhosis patients follwing hepatitis B with no gastrointestinal bleeding.RESULTS Through the classification of red cell average value:normal cell anemia 11/52,microcytic hypochronic anemia 1/52,pure minicell anemia 2/52,macrocytic anemia 1/52,not belong this classification 35/52;through the classification with MCV/RDW:normal and no uniform anemia 51 923%(27/52),macrocytic and no uniform anemia 30 769%(16/52),mincell and no uniform anemia 13 462%(7/52),macrocytic and uniform anemia 1 923%(1/52),normal and uniform cell anemia 1 923%(1/52).CONCLUSION The main reason of anemia for cirrhosis follwing hepatitis B with no gastrointestinal bleeding is lack of ferrum and/or folacin,analyse with MCV/RDW is better.更多还原