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血清铁、总铁结合力、转铁蛋白的饱和度虽容易测定,但不能区别铁贮存的缺乏和网状内皮系统释放铁的缺陷。作者认为骨髓活检铁染色对评价体内铁贮存是可行的,而急待解决血铁蛋白值能否区别真正缺铁和血清铁参数提示缺铁的临床情况。因此在一组有低血清铁和铁饱和度小于15%的贫血病人中进行血清铁蛋白值和骨髓活检铁贮存的比较。
Serum iron, total iron binding, transferrin saturation although easy to determine, but can not distinguish between the lack of iron storage and reticular endothelial system to release iron defects. The authors believe that bone marrow biopsy iron staining is feasible for the evaluation of iron storage in vivo, and the urgent need to solve the clinical situation that serum ferritin value can distinguish true iron deficiency and serum iron parameters suggest iron deficiency. Thus a comparison of serum ferritin values and bone marrow biopsy iron storage was performed in a group of anemic patients with low serum iron and less than 15% iron saturation.