论文部分内容阅读
目的:探讨老年患者的贫血原因、特点及其临床疗效。方法:回顾性分析137例老年贫血患者的临床资料。结果:老年贫血的首要原因为缺铁性贫血,共41例,占29.2%;其次为巨幼细胞性贫血,共29例,占21.2%;其它包括消化道疾病(如消化道肿瘤、胃大部切除术后、慢性胃炎等)所致的消化道慢性失血、消化道吸收障碍,共53例,占38.7%;肾病性贫血,共18例,占13.1%;感染及慢性病性贫血12例,占8.75%;再生障碍性贫血4例、急性白血病3例、骨髓增生异常综合征1例及溶血性贫血1例,共占6.57%。结论:老年人易患贫血,病因复杂多样,其中继发性贫血较多,其治疗要有针对性,应尽早明确病因,以便及时对症治疗。
Objective: To investigate the causes, characteristics and clinical effects of anemia in elderly patients. Methods: A retrospective analysis of 137 cases of elderly patients with anemia clinical data. Results: The primary cause of senile anemia was iron deficiency anemia, 41 cases (29.2%), followed by megaloblastic anemia (29 cases), accounting for 21.2%. Other diseases including gastrointestinal diseases 53 cases (38.7%), renal anemia (18 cases), accounting for 13.1%, 12 cases of infection and chronic anemia, chronic gastritis and other chronic gastritis, Accounting for 8.75%; 4 cases of aplastic anemia, 3 cases of acute leukemia, 1 case of myelodysplastic syndrome and 1 case of hemolytic anemia, accounting for 6.57%. Conclusion: The elderly are predisposed to anemia. The causes are complex and diverse. Among them, there are more secondary anemia. The treatment should be targeted, and the cause should be identified as soon as possible so that the symptomatic treatment can be timely.