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目的了解骨髓检查病例的缺铁(ID)率及其血液学异常的若干特点。方法每例骨髓检查的初诊患者除常规外,均作骨髓可染铁染色,判断骨髓ID并按标准进行缺铁性贫血(IDA)和血液病伴ID等的诊断。结果近7年中诊为骨髓ID909例,占同期检查病例14.7%。其中单独诊为IDA513例,占ID的56.4%。血液病伴ID(主要见于特发性血小板减少症和脾功能亢进)282例,占ID的31.0%。其他疾病ID114例占12.5%。分析血液学检查,IDA、血液病伴ID和其他疾病ID的患者,在贫血率,血红蛋白浓度,红细胞指数(MCV、MCH、MCHC和RDW)及红系细胞形态学方面各有不同程度的变化。结论了解骨髓ID及其血液学异常,有助于提高ID病理的认识,以及IDA与血液病伴随ID的主次诊断。
Objective To understand the iron deficiency (ID) rate in cases of bone marrow biopsy and its hematological abnormalities. Methods The newly diagnosed patients with bone marrow examination in each case were allotransfected with iron and stained with bone marrow to determine the bone marrow ID and diagnosed with IDA and ID according to the standard. Results The diagnosis of bone marrow ID909 cases in the past 7 years, accounting for 14.7% of the same period. IDA513 cases were diagnosed alone, accounting for 56.4% of ID. Blood disease with ID (mainly seen in idiopathic thrombocytopenia and hypersplenism) 282 cases, accounting for 31.0% of ID. ID114 cases of other diseases accounted for 12.5%. Patients who analyzed hematology, IDA, blood disease ID, and other disease ID had varying degrees of change in anemia, hemoglobin, erythrocyte index (MCV, MCH, MCHC and RDW), and erythroid morphology. Conclusion Understanding bone marrow ID and its hematological abnormalities is helpful to improve the understanding of ID pathology and the primary and secondary diagnosis of IDA and blood diseases accompanying ID.