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缺铁性贫血是临床最常见的贫血类型。根据病史、症状、体征及实验室检查,诊断不难。诊断要点为低色素小细胞性贫血;血清铁降低在50微克%以下,总铁结合力增高可达350～500微克%;骨髓涂片铁染色示储存铁及铁粒幼红细胞明显减少;有条件者可测定血清铁蛋白,后者能更敏感地反映铁储备。缺铁性贫血对铁剂治疗反应良好。一般情况下诊断及治疗不存在问题。但有时也会发生诊疗错误,举例如下: 一、隐匿型缺铁状态及早期缺铁性贫血易被忽视邓××,女,30岁,机关干部。一年前顺产一婴,分
Iron deficiency anemia is the most common clinical type of anemia. According to history, symptoms, signs and laboratory tests, the diagnosis is not difficult. Diagnostic criteria for hypochromic small cell anemia; serum iron decreased below 50 micrograms%, the total iron binding capacity increased up to 350 to 500 micrograms%; bone marrow smear iron staining showed iron and iron particles stored erythrocytes significantly reduced; conditional People can measure serum ferritin, the latter can more sensitively reflect the iron reserves. Iron deficiency anemia on iron treatment responded well. Under normal circumstances there is no problem diagnosis and treatment. But sometimes there will be diagnosis and treatment errors, for example as follows: First, the hidden iron deficiency status and early iron deficiency anemia can easily be ignored Deng × ×, female, 30 years old, cadres. A baby a year ago, abortion