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巨幼细胞性贫血50例临床分析

Clinical analysis of 50 patients with megaloblastic anemia

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【作者】 季勇慧钱军张永宁吴朝阳

【Author】 JI Yong-hui,QIAN Jun,ZHANG Yong-ning,et al.(Department of Hematology,The First People’s Hospital of Zhenjiang,Jiangsu 212001,China)

【机构】 镇江市第一人民医院血液科镇江市第一人民医院血液科 江苏镇江212001江苏镇江212001

【摘要】 目的:探讨巨幼细胞性贫血患者的临床特点。方法:对1999年1月~2006年6月我院收治的巨幼细胞性贫血进行回顾性分析。结果:所有病例均血红蛋白减少,TBIL升高者35例(70%),维生素B12、叶酸治疗总有效率达95.4%。结论:巨幼细胞性贫血的临床表现无特异性,血清叶酸、维生素B12检测是诊断的重要手段,临床治疗为补充叶酸、维生素B12,疗效佳。

【Abstract】 Objective:To analyse the presenting features and laboratory features of the patients with megaloblastic anaemia(MA).Methods:The clinical data in 26 patients with MA in our hospital between January 1999 and June 2006 were restyospetively reviewed.Results:MA was common in clinic,vitamin B12 deficiency was found in all cases.The most common presenting symptoms were fatigue,otherwise there were gastroenteric and neural symptoms.Hemoglobin was lower in all cases.The effective rate of vitamin B12 and folate was 95.4%.Conclusion:The clinical symptom of MA is nonspecific.The test of vitamin B12 and folate is a major disagnostic approach.The treatment is additional vitamin B12 and folate,the effect of treatment is good.

  • 【文献出处】 现代医药卫生 ,Modern Medicine & Health , 编辑部邮箱 ,2007年14期
  • 【分类号】R556
  • 【被引频次】1
  • 【下载频次】77
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