CAJ | 학술논문

目的探讨老年贫血的诊断特点.方法分析218例老年贫血病例的血常规、骨髓红系增生情况、骨髓形态学及病理学诊断、病因诊断等项目为观察指标.结果 218例老年贫血病例中,男性数量稍多于女性,中位年龄67.9岁.中重度贫血占绝大多数,形态学上以小细胞性贫血比例最高,占42.66%;其次为正细胞性贫血,占35.85%.骨髓红系增生活跃以上者占82.35%;缺铁性贫血为老年贫血最常见的病种(39.44%),其次为巨幼细胞性贫血、骨髓增生异常综合征.缺铁性贫血的病因中摄入不足最常见,占25.66%,肿瘤、溃疡及胃大部切除术后也较多见.骨髓增生异常综合征、巨幼细胞性贫血和慢性再生障碍性贫血为老年全血细胞减少病例的常见病种.结论老年人属弱势群体,老年贫血病例中缺铁性贫血和营养不良性贫血比例高.
목적 탐토노년빈혈적진단특점.방법 분석218례노년빈혈병례적혈상규、골수홍계증생정황、골수형태학급병이학진단、병인진단등항목위관찰지표.결과 218례노년빈혈병례중,남성수량초다우녀성,중위년령67.9세.중중도빈혈점절대다수,형태학상이소세포성빈혈비례최고,점42.66%;기차위정세포성빈혈,점35.85%.골수홍계증생활약이상자점82.35%;결철성빈혈위노년빈혈최상견적병충(39.44%),기차위거유세포성빈혈、골수증생이상종합정.결철성빈혈적병인중섭입불족최상견,점25.66%,종류、궤양급위대부절제술후야교다견.골수증생이상종합정、거유세포성빈혈화만성재생장애성빈혈위노년전혈세포감소병례적상견병충.결론 노년인속약세군체,노년빈혈병례중결철성빈혈화영양불량성빈혈비례고.
Objective To explore the diagnostic characteristics of anemia in the elderly. Methods To measure and analyze the eric status of bone marrow, diagnosis according to morphology and biopsy of bone marrow, and etiology of anemia(IDA) in 218 cases of anemia in the aged. Results In these 218 cases male patients were slightly more than female patients. Median age was 68.9. Ratio of cases with macrocytic anemia was the highest(42.66%), ratio of cases with active erythropoietic status was 82. 35%. Iron deficiency anemia was the most common anemia in the elderly(39. 44%), and megaloblastic anemia and myelodysplastic syndrome (MDS) were also frequent. Insufficient ingestion was the most common cause of IDA(25.66 %),and tumors,digestive ulcers and postgastrectomy were also the common causes. MDS,megaloblastic anemia and chronic aplastic anemia(CAA) were the common anemia in geriatric population with pancytopenia. Conclusions Geriatric population is the fragile group. Ratio of cases with anemia due to IDA and malnutrition is high in cases of anemia in the elderly.