Joosten E, Pelemans W, Hiele M, Noyen J, Verhaeghe R, Boogaerts M A
Department of Internal Medicine, University Hospitals, Katholieke Universiteit Leuven, Belgium.
Gerontology. 1992;38(1-2):111-7. doi: 10.1159/000213315.
Of 732 consecutive patients admitted to an acute geriatric ward, 178 (24%) were found to be anaemic (haemoglobin of 115 g/l or below). An appropriate cause responsible for anaemia was identified in 83%. The anaemia of chronic disorders (ACD) (35%) and iron deficiency anaemia (15%) were the commonest causes. The spectrum of disorders associated with ACD is much broader than the classical category of infectious, inflammatory and malignant disorders. The relatively high prevalence of the myelodysplastic syndrome (5%) is striking and this syndrome as a cause of anaemia in geriatric patients deserves more attention than it has so far received. No obvious cause was found in 17%. The clinical significance of this finding remains unclear.
在连续入住急性老年病房的732例患者中，有178例（24%）被发现贫血（血红蛋白水平为115g/L或更低）。83%的患者确定了导致贫血的合适病因。慢性病性贫血（ACD）（35%）和缺铁性贫血（15%）是最常见的病因。与ACD相关的疾病谱比经典的感染性、炎症性和恶性疾病类别要广泛得多。骨髓增生异常综合征的相对高患病率（5%）令人瞩目，并且该综合征作为老年患者贫血的一个病因值得比迄今更多的关注。17%的患者未发现明显病因。这一发现的临床意义仍不明确。
