Department of Pathology, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, MC L-471, Portland, OR, 97239, USA.
Division of Hematology/Medical Oncology, Department of Medicine, Knight Cancer Institute, Oregon Health and Science University, MC L586, 3181 Southwest Sam Jackson Park Road, Portland, OR 97239, USA; Division of Laboratory Medicine, Department of Pathology, Oregon Health and Science University, Hematology L586, 3181 Southwest Sam Jackson Park Road, Portland, OR 97201-3098, USA.
Med Clin North Am. 2017 Mar;101(2):263-284. doi: 10.1016/j.mcna.2016.09.003. Epub 2016 Dec 8.
Anemia is among the most common medical problems and clinical and laboratory evaluation need to be approached logically. The complete blood count with red cell indices offers clues to diagnosis. Many anemias have characteristic red cell morphology. The reticulocyte count serves as a useful screen for hemolysis or blood loss. Testing for specific causes of the anemia is performed. Occasionally, examination of the bone marrow is required for diagnosis. Molecular testing is increasingly being use to aid the diagnostic process. This article reviews diagnostic tests for anemia and suggests a rational approach to determining the etiology of a patient's anemia.
贫血是最常见的医学问题之一,临床和实验室评估需要逻辑地进行。全血细胞计数和红细胞指数提供了诊断线索。许多贫血具有特征性的红细胞形态。网织红细胞计数可作为溶血或失血的有用筛查指标。针对贫血的具体病因进行检测。偶尔需要进行骨髓检查以明确诊断。分子检测越来越多地用于辅助诊断过程。本文综述了贫血的诊断检测方法,并提出了一种合理的方法来确定患者贫血的病因。