医学检验与临床
醫學檢驗與臨床
의학검험여림상
MEDICAL LATORATORY SCIENCE AND CLINICES
2014年
5期
52-54
,共3页
老年%贫血%骨髓细胞学检查
老年%貧血%骨髓細胞學檢查
노년%빈혈%골수세포학검사
The elderly%Anemia%Cytological examination of bone marrow
目的：分析老年贫血患者骨髓细胞学特点，探讨老年贫血病因，提高对老年贫血的重视。方法：回顾分析158例老年贫血患者（≥60岁）骨髓细胞学检查结果及临床资料。结果：158例老年贫血患者中轻度贫血48例（30.4%）；中度贫血71例（44.9%）；重度贫血39例（24.7%）。明确病因的有136例（86.1%）：其中巨幼细胞性贫血26例(16.5%)；慢性病贫血23例(14.6%)；缺铁性贫血20例(12.7%)；多发性骨髓瘤13例(8.2%)；急性白血病12例(7.6%)；血小板减少9例（5.7%）；感染性贫血7例(4.3%)；慢性淋巴细胞白血病5例(3.2%)；骨髓增生异常综合征5例(3.2%)；溶血性贫血4例(2.5%)；淋巴瘤3例(1.9%)；脾功能亢进3例(1.9%)；慢性粒细胞白血病2例(1.3%)；恶性肿瘤2例（1.3%）；纯红再障1例(0.6%)；骨髓纤维化1例(0.6%)。不明原因22例(13.9%)。结论：⑴老年贫血病因复杂、起病隐匿，多为中重度贫血，影响老年人生存寿命，应引起老年人及医务工作者的高度重视，尽早发现，明确病因，及时预防和治疗，提高老年人的生活质量。⑵骨髓细胞学检查对老年贫血的确诊、贫血类型的确定具有重要临床意义。
目的：分析老年貧血患者骨髓細胞學特點，探討老年貧血病因，提高對老年貧血的重視。方法：迴顧分析158例老年貧血患者（≥60歲）骨髓細胞學檢查結果及臨床資料。結果：158例老年貧血患者中輕度貧血48例（30.4%）；中度貧血71例（44.9%）；重度貧血39例（24.7%）。明確病因的有136例（86.1%）：其中巨幼細胞性貧血26例(16.5%)；慢性病貧血23例(14.6%)；缺鐵性貧血20例(12.7%)；多髮性骨髓瘤13例(8.2%)；急性白血病12例(7.6%)；血小闆減少9例（5.7%）；感染性貧血7例(4.3%)；慢性淋巴細胞白血病5例(3.2%)；骨髓增生異常綜閤徵5例(3.2%)；溶血性貧血4例(2.5%)；淋巴瘤3例(1.9%)；脾功能亢進3例(1.9%)；慢性粒細胞白血病2例(1.3%)；噁性腫瘤2例（1.3%）；純紅再障1例(0.6%)；骨髓纖維化1例(0.6%)。不明原因22例(13.9%)。結論：⑴老年貧血病因複雜、起病隱匿，多為中重度貧血，影響老年人生存壽命，應引起老年人及醫務工作者的高度重視，儘早髮現，明確病因，及時預防和治療，提高老年人的生活質量。⑵骨髓細胞學檢查對老年貧血的確診、貧血類型的確定具有重要臨床意義。
목적：분석노년빈혈환자골수세포학특점，탐토노년빈혈병인，제고대노년빈혈적중시。방법：회고분석158례노년빈혈환자（≥60세）골수세포학검사결과급림상자료。결과：158례노년빈혈환자중경도빈혈48례（30.4%）；중도빈혈71례（44.9%）；중도빈혈39례（24.7%）。명학병인적유136례（86.1%）：기중거유세포성빈혈26례(16.5%)；만성병빈혈23례(14.6%)；결철성빈혈20례(12.7%)；다발성골수류13례(8.2%)；급성백혈병12례(7.6%)；혈소판감소9례（5.7%）；감염성빈혈7례(4.3%)；만성림파세포백혈병5례(3.2%)；골수증생이상종합정5례(3.2%)；용혈성빈혈4례(2.5%)；림파류3례(1.9%)；비공능항진3례(1.9%)；만성립세포백혈병2례(1.3%)；악성종류2례（1.3%）；순홍재장1례(0.6%)；골수섬유화1례(0.6%)。불명원인22례(13.9%)。결론：⑴노년빈혈병인복잡、기병은닉，다위중중도빈혈，영향노년인생존수명，응인기노년인급의무공작자적고도중시，진조발현，명학병인，급시예방화치료，제고노년인적생활질량。⑵골수세포학검사대노년빈혈적학진、빈혈류형적학정구유중요림상의의。
Objective:Cytological analysis of characteristics of the patients with bone marrow anemia in the elderly, to investigate the causes of anemia, improvement of anemia in the elderly attention.Methods:A retrospective analysis of 158 cases of anemia in the elderly patients (≥ 60 years) bone marrow cytology results and clinical data were performed.Results:158 cases of 48 cases with anemia in the elderly patients with mild anemia (30.4%); moderate anemia in 71 cases (44.9%); 39 cases (24.7%) in severe anemia. Diagnosis of 136 cases (86.1%): among the 26 cases of megaloblastic anemia (16.5%); anemia of chronic disease in 23 cases (14.6%); 20 cases with iron deficiency anemia (12.7%); 13 cases of multiple myeloma (8.2%); 12 cases of acute leukemia (7.6%); 9 patients with thrombocytopenia (5.7%); infectious anemia in 7 cases (4.3%); 5 cases of chronic lymphocytic leukemia (3.2%); 5 cases of myelodysplastic syndrome (3.2%); 4 cases of hemolytic anemia (2.5%); 3 cases of lymphoma (1.9%); 3 cases of hypersplenism (1.9%); 2 cases of chronic myelogenous leukemia (1.3%); 2 cases of malignant tumors (1.3%); 1 cases with pure red cell aplasia (0.6%); 1 cases of bone marrow fibrosis (0.6%). 22 cases of unknown causes (13.9%).Conclusions: Anemia in the elderly complex etiology, onset occult, should be thought highly by the elderly and medical workers;Bone marrow cytology for diagnosis of anemia, anemia in elderly type determination has important clinical significance.
