【摘要】 目的分析贫血诊断与鉴别诊断中血液检验的临床应用及价值。方法回顾性分析60例确诊为贫血的患者的临床资料,将其分为观察组,另选择同期健康体检的60例健康人员为对照组,分别对两组人员进行血液检验,分析两组人员的各项血液指标。结果与对照相比,地中海贫血及缺铁性贫血患者平均红细胞体积、红细胞分布宽度显著增加,而血红蛋白浓度、红细胞血红蛋白量参数下降,差异具统计学意义(P<0.05)。巨幼细胞性贫血主要表现出红细胞体积、红细胞分布宽度等指标上升(P<0.05),红细胞血红蛋白量则下降不明显。溶血性贫血红细胞体积、红细胞分布宽度等指标有显著升高(P<0.05),血红蛋白浓度、红细胞血红蛋白量等指标变化不显著。慢性感染性贫血红细胞体积显著增加,红细胞血红蛋白、红细胞分布宽度等有显著下降(P<0.05),血红蛋白浓度无显著变化。结论血液检测指标参数变化可以不同程度的反映出不同类型贫血疾病的倾向,临床诊断过程中可结合患者的具体症状,参照检测结果对患者的病情做出鉴别及诊断。更多还原

【Abstract】 Objective to analyze clinical application and value of blood test for anemia diagnosis and differential diagnosis. Methods review and analyze clinical data of 60 cases definitely diagnosed as anemia, which were regarded as observation group, and choose 60 cases healthy people carryin on checkup at same period as control group. Carry on blood test for two groups respectively, analyze various blood indexes of them. Results compared with control group, average red blood cells volume and distribution width of thalassemia and iron deficiency anemia patients increased significantly, while hemoglobin concentration and hemoglobin amount parameters of red blood cells decreased, difference showed statistical significance(P < 0.05). Megaloblastic anemia mainly showed increase of red blood cells volume and distribution width index(P < 0.05), and hemoglobin amount of red blood cells showed less obvious decrease. Hemolytic anemia showed significantly increase of red blood cells volume distribution width index(P< 0.05), and hemoglobin concentration, hemoglobin amount of red blood cells index showed no significant changes. Chronic infectious anemia showed significant increase of red blood cell volume, and significant decreas of hemoglobin and distribution width of red blood cells(P< 0.05), hemoglobin concentration showed no significant changes. Conclusion changes of blood test indexes and parameters can reflect tendency of different types of anemia with different degree, differential diagnosis can be carried out for patients based on their concrete symptoms and test results in the clinical diagnosis process.更多还原