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目的观察136例重度和极重度贫血患者的骨髓象特点,分析其骨髓象病变特点和发病机制以及临床意义。方法对136例重度和极重度贫血患者进行骨髓象检查,将患者按照贫血原因分组,对照各组的骨髓象特点,得出其与病情的关系,并总结贫血患者骨髓象检查的标准。结果不同原因贫血患者的骨髓象既有相同点,又有明显不同,在重度和极重度贫血患者中 IDA 和 AA 所占比例高于一般贫血。而重度贫血组和极重度贫血组比较,结果存在明显差异。结论对于重度贫血,应尽早诊断,原因不明时要及时行骨髓象检查,而极重度贫血患者在行血常规检查同时应立即骨髓象检查,以明确诊断,避免延误病情。
Objective To observe the characteristics of bone marrow in 136 patients with severe and severe anemia and to analyze their bone marrow lesion characteristics and pathogenesis as well as its clinical significance. Methods Thirty - six patients with severe and very severe anemia were examined by bone marrow imaging. The patients were grouped according to the causes of anemia. The bone marrow characteristics of each group were compared to obtain the relationship with the disease, and the standard of bone marrow examination in patients with anemia was summarized. Results There were similarities and differences in the bone marrow of patients with anemia due to different causes. The proportion of IDA and AA in patients with severe and severe anemia was higher than that of normal anemia. The severe anemia group and severe anemia group, the results there is a significant difference. Conclusion Severe anemia should be diagnosed as soon as possible, when the cause is unknown, bone marrow biopsy should be performed in time, and patients with severe anemia routine blood tests should be immediately bone marrow biopsy to confirm the diagnosis and avoid delay the disease.