论文部分内容阅读
目的探讨老年性贫血的临床特点,以提高临床诊治水平。方法对126例老年性贫血进行回顾性分析病因、临床特点、诊断及治疗。结果老年性贫血以营养不良性贫血(44.4%),慢性病性贫血(37.4%)多见,多伴有消化系统及内分泌,心脑血管等内科其他系统疾病,症状多为头晕、心悸、乏力、纳差、消瘦等,无特异性,易于漏诊;贫血程度不等,可同时伴白细胞,血小板减少,网织红细胞及骨髓像与病因相一致;初步诊断有一定规律可循;治疗及预后差异较大。结论老年性贫血比较常见,但常因非血液病就诊而漏诊;合理膳食配合生血细胞药物,积极治疗原发病,定期进行体检,是预防和治疗老年性贫血不可忽视的重要措施。
Objective To explore the clinical features of senile anemia in order to improve the level of clinical diagnosis and treatment. Methods 126 cases of senile anemia were retrospectively analyzed etiology, clinical features, diagnosis and treatment. Results Aged anemia with malnutrition anemia (44.4%), chronic anemia (37.4%) more common, more with digestive and endocrine, cardiovascular and other medical and other medical diseases, mostly dizziness, palpitations, fatigue, Anorexia, weight loss, etc., non-specific, easy to misdiagnosis; ranging from anemia can be accompanied by leukopenia, thrombocytopenia, reticulocyte and bone marrow and etiology consistent; preliminary diagnosis of a certain rule; treatment and prognosis differences Big. Conclusions Senile anemia is more common, but it is often missed because of non-hematological disease. Rational diet combined with hematopoietic drugs, active treatment of primary disease and regular physical examination are important measures to prevent and treat senile anemia.