摘要
目的分析总结缺铁性贫血(IDA)的主要病因。方法回顾分析该院2007-01～2010-12住院诊断为缺铁性贫血的136例患者的临床材料。结果 136例IDA患者中单一病因致病者90例(66.18%),两种病因致病者46例(33.82%)。致病因素包括:慢性胃炎49例(36.03%),消化性溃疡19例(13.97%),肠道钩虫感染31例(22.79%),女性生殖道出血22例(16.18%),不良饮食17例(12.50%),痔疮出血15例(11.03%),泌尿系结石8例(5.88%),胃肠息肉6例(4.41%),慢性结肠炎4例(2.94%),胃癌4例(2.94%),结肠癌4例(2.94%),食道癌1例(0.74%),肺结核2例(1.47%)。结论消化道疾病是IDA主要的致病因素,以慢性胃炎和消化性溃疡为主,肠道钩虫病、痔疮出血、消化道恶性肿瘤、不良饮食、女性月经过多均是IDA的常见致病因素。
Objective To analyze the major cause of iron deficiency anemia （IDA）. Methods The clini- cal data of 136 in patients with IDA treated in our hospital from January 2007 to December 2010 was retrospectively analyzed. Results Among 136 patients with IDA, single pathogenic factor was found in 90 patients, accounting for 66. 18% ; multiple pathogenic factors in 46 patients, accounting for 33.82 % ; chronic gastritis was found in 49 pa- tients, accounting for 36. 03% ; peptic ulcer in 19 patients, accounted for 13.97% ; intestinal hookworm disease in 31 patients, accounting for 22.79% ; the female reproductive tract bleeding in 22 patients, accounting for 16. 18% ; poor diet in 17 patients, accounting for 12. 50% ; bleeding hemorrhoids in 15 patients, accounting for 11.03% ; uri- nary stones in 8 patients, accounting for 5.88% ; gastrointestinal polyps in 8 patients, accounting for 4.41% ; chron- ic colitis in 4 patients, accounting for 2. 94% ; gastric cancer in 4 patients, accounting for 2. 94% ; colon cancer in 4 patients, accounting for 2. 94% ; esophageal cancer in one patients, accounting for 0. 74% ; tuberculosis in 2 pa- tients, accounting for 1.47%. Conclusion The gastrointestinal disease is the major pathogenic factors for IDA, mainly including chronic gastritis and peptic ulcer; while intestinal hookworm disease, bleeding hemorrhoids, diges- tive tract cancer, poor diet, women menorrhea are common pathogenic factors for IDA.
出处
《中国临床新医学》
2012年第9期852-854,共3页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
关键词
缺铁性贫血
病因
分析
Iron deficiency anemia（IDA）
Etiology
Analysis
