Strobach R S, Anderson S K, Doll D C, Ringenberg Q S
Department of Medicine, School of Medicine, University of Missouri, Columbia.
Arch Intern Med. 1988 Apr;148(4):831-2.
Certain clinical findings, such as pallor of the conjunctivae, nail beds, lips, oral mucosa, and palmar creases have traditionally been used by physicians in the diagnosis of anemia. We prospectively examined 50 patients to determine whether there was any correlation between these clinical findings and hemoglobin concentration. We noted a statistically significant correlation between hemoglobin concentration and the following: color tint of the lower eyelid conjunctiva, nail-bed rubor, nail-bed blanching, and palmar crease rubor. Results from our study support the contention that the presence and degree of anemia can be estimated clinically by careful physical examination.
某些临床体征，如结膜、甲床、嘴唇、口腔黏膜和掌纹的苍白，传统上一直被医生用于贫血的诊断。我们前瞻性地检查了50名患者，以确定这些临床体征与血红蛋白浓度之间是否存在任何相关性。我们注意到血红蛋白浓度与以下各项之间存在统计学上的显著相关性：下睑结膜的颜色色调、甲床发红、甲床苍白和掌纹发红。我们的研究结果支持这样的观点，即通过仔细的体格检查可以临床估计贫血的存在和程度。
