贫血是常见的临床症状,因其病因复杂,发病缓急及轻重不一,常不能确诊。本文就此总结,冀能吸取经验。 一、小细胞低色素性贫血 以缺铁性贫血(ILA)为代表,占贫血总发病率的50％。我省相当普遍。诊断体会: (一)查明慢性失血的病因:男性以消化道癌肿和钩虫病等失血为主;女性见于月经过多或分娩时失血过多。女多于男,妊娠妇女多于未婚者。但要警惕同一患者可有双重病因,如月经过多和钩虫病,胃癌和痔疮等。 Anemia is a common clinical symptom, because of its complex causes, onset and severity, often can not be diagnosed. This summary of this article, hope to learn from experience. First, the small cell hypochromic anemia to iron deficiency anemia (ILA) as the representative, accounting for the total incidence of anemia 50%. My province is quite common. Diagnostic experience: (A) identify the cause of chronic blood loss: men with gastrointestinal cancer and hookworm blood loss dominated; women seen in menorrhagia or excessive bleeding during childbirth. More women than men, more pregnant women than unmarried persons. But be wary of the same patient may have a double cause, such as menorrhagia and hookworm disease, stomach cancer and hemorrhoids.