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目的观察重度和极重度贫血患者的骨髓象特点,分析其骨髓象病变特点和发病机制以及临床意义。方法 2000年3月至2007年11月对136例重度和极重度贫血患者进行骨髓象检查,将患者按照贫血原因分组,对照各组的骨髓象特点,得出其与病情的关系,并总结贫血患者骨髓象检查的标准。结果不同原因贫血患者的骨髓象既有相同点,又有明显不同,在重度和极重度贫血患者中 IDA 和 AA 所占比例高于一般贫血。而重度贫血组和极重度贫血组比较,结果差异有显著性意义。结论对于重度贫血,应尽早诊断,原因不明时要及时行骨髓象检查,而极重度贫血患者在行血常规检查同时应立即行骨髓象检查,以明确诊断,避免延误病情。
Objective To observe the characteristics of bone marrow in patients with severe and very severe anemia and to analyze the characteristics and pathogenesis of bone marrow disease and its clinical significance. Methods From March 2000 to November 2007, 136 patients with severe and very severe anemia were examined by bone marrow imaging. The patients were divided into groups according to the cause of anemia. The bone marrow characteristics of each group were compared to obtain the relationship with the disease, and the anemia was summarized Patients with bone marrow as the standard inspection. Results There were similarities and differences in the bone marrow of patients with anemia due to different causes. The proportion of IDA and AA in patients with severe and severe anemia was higher than that of normal anemia. The severe anemia group and severe anemia group, the difference was significant. Conclusion Severe anemia should be diagnosed as soon as possible, when the cause is unknown, bone marrow biopsy should be performed in time, and patients with severe anemia routine blood tests should be carried out immediately bone marrow examination in order to confirm the diagnosis to avoid delay the disease.