摘要
目的 探讨老年人贫血的临床特点。方法 回顾分析了 110例老年人贫血的临床资料。结果 110例中缺铁性贫血 6 8例 (6 1.8% ) ,巨幼细胞性贫血 14例 (12 .7% ) ,再生障碍性贫血 12例 (11% ) ,其他尚有自身免疫性溶血性贫血、骨髓增生异常综合征、白血病、纯红再障等。同时检出伴有 :慢性胃炎、胃大部切除、溃疡病、钩虫病感染等 44例占5 3.6 % ;冠心病 ,糖尿病、结石性胆囊炎共 2 6例占 31.7%。另尚有胃癌 10例 ,白血病 4例 ,占总数 12 .7%。在并发症中有贫血性心脏病、低蛋白血症、全身衰竭、呼吸道、泌尿道感染等。贫血程度以中至重度为主 ,重度 5 9例 (5 3.6 % ) ,中度 34例 (31% )。结论 老年人贫血为多种疾病所致 ,易发生多种合并症 。
Objective To understa nd with greater clearness the clinical c haracteristics of senile patients with a nemia.Methods A retrospective an alysis was made on the clinical data of 110 senile patients with anemia.Resu lts The 110 anemia cases included 68 cases of iron-deficiency anemia(61.8%), 14 megaloblastic anemia(12.7%),12 aplast ic anemia(11%),and some cases of autoimm une hemolytic anemia,myeloproliferative syndrome,leukemia,and pure red cell apla sia.Among them,59 were severe anemia cas es(53.6%) and 34 moderate anemia cases(3 1%).Digestive disease and parasitic infe ction(44 cases)were the main problems ca using anemia in 53.6% of the iron-defici ency anemia and megaloblastic anemia ca ses; coronary disease and diabetes (26 c ases) accounted for a smaller proportion (31.7%).10 cases of gastric cancer and 4 cases of leukemia constituted 12.7%.Th e complications were anemic cardiopathy, hypoproteinemia,asthenia universalis,res piratary or urinary tract infection. Conclusion Anemia in senile patients may be caused and complicated by many d iseases,and severe and moderate anemia m ake up a relatively large proportion of the cases.
出处
《四川医学》
CAS
2001年第8期709-710,共2页
Sichuan Medical Journal
