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[造血异常性贫血(AD)(骨髓增生异常综合征)。来自萨尔瓦多·苏比拉án国家营养研究所(INNSZ)的40例病例回顾性分析]

[Dyshemopoietic anemias (AD) (myelodysplastic syndromes). Retrospective analysis of 40 cases from the Instituto Nacional de la Nutrición Salvador Zubirán (INNSZ)].

作者信息

Lobato-Mendizábal E, Labardini-Méndez J, Gallardo-Rincón D

出版信息

Rev Invest Clin. 1989 Jan-Mar;41(1):17-24.

PMID:2727429
Abstract

40 patients with DMPS were studied and diagnosed at the INNSZ during 1980-1985. Eighteen were males and twenty two females; age average of 55.7 years (17-82), with 72.5% over 50 years old. Their distribution according to the FAB classification was: 55% type I, 10% type II, 27.5% type III, 2.5% type IV and 5% type V. All of them had an anemic syndrome and 47.5% had bled, 52.5% had pancytopenia; there was anemia and thrombocytopenia in 32.5%, anemia and leukopenia in 7.5%, and anemia only in 7.5%. The bone marrow was normocellular in 42.5%, hypercellular in 40% and hypocellular in 17.5%, 45% of the patients survived; 22% achieved a complete remission (CR) and 9 patients (22.5%) died of causes related to DMPS. The rest was lost to follow up.

摘要

1980年至1985年期间,40例糖尿病性多神经病(DMPS)患者在匈牙利国家神经病学和卒中研究所(INNSZ)接受研究和诊断。其中18例为男性,22例为女性;平均年龄55.7岁(17 - 82岁),72.5%的患者年龄超过50岁。根据FAB分类,其分布情况为:I型占55%,II型占10%,III型占27.5%,IV型占2.5%,V型占5%。所有患者均有贫血综合征,47.5%的患者有出血症状,52.5%的患者有全血细胞减少;32.5%的患者有贫血和血小板减少,7.5%的患者有贫血和白细胞减少,仅7.5%的患者只有贫血。42.5%的患者骨髓细胞数量正常,40%的患者骨髓细胞增多,17.5%的患者骨髓细胞减少,45%的患者存活;22%的患者达到完全缓解(CR),9例患者(22.5%)死于与DMPS相关的原因。其余患者失访。

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