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西印度群岛60名30岁以上患者的相对良性镰状细胞贫血症。

Relatively benign sickle-cell anaemia in 60 patients aged over 30 in the West Indies.

作者信息

Serjeant G R, Richards R, Barbor P R, Milner P F

出版信息

Br Med J. 1968 Jul 13;3(5610):86-91. doi: 10.1136/bmj.3.5610.86.

Abstract

A study in Jamaica of 60 patients with sickle-cell anaemia over the age of 30 years showed that most of them were in full-time employment. Pains in the bones or joints, leg ulceration, and jaundice were the most frequent types of presentation, but only two patients had a haemoglobin level consistently below 6 g./ 100 ml. Most of the patients were well developed and of average height, and, though the development of secondary sexual characteristics was delayed, there was an average of 2.6 pregnancies per patient. These findings suggest that the course is more benign than has been realized.

摘要

在牙买加针对60名30岁以上镰状细胞贫血患者开展的一项研究表明,他们中的大多数人都有全职工作。骨骼或关节疼痛、腿部溃疡和黄疸是最常见的症状表现类型,但只有两名患者的血红蛋白水平持续低于6克/100毫升。大多数患者发育良好,身高处于平均水平,虽然第二性征发育延迟,但每位患者平均怀孕2.6次。这些研究结果表明,该疾病的病程比人们认识到的更为良性。

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本文引用的文献

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The population genetics of two inherited blood dyscrasias in man.人类两种遗传性血液系统疾病的群体遗传学
Cold Spring Harb Symp Quant Biol. 1950;15:141-58. doi: 10.1101/sqb.1950.015.01.017.
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Sickle cell anemia; a composite study and survey.镰状细胞贫血;一项综合研究与调查。
Medicine (Baltimore). 1951 Dec;30(4):357-433. doi: 10.1097/00005792-195112000-00003.
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Sickle-cell anaemia and sickle-cell trait as home- and heterozygous gene-combinations.
Nature. 1951 Jun 9;167(4258):931-3. doi: 10.1038/167931a0.
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Sickle-cell disease and pregnancy.镰状细胞病与妊娠
Am J Obstet Gynecol. 1950 Dec;60(6):1217-28. doi: 10.1016/0002-9378(50)90003-2.
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CHOLESTASIS IN SICKLE CELL ANEMIA.镰状细胞贫血中的胆汁淤积
Am J Med. 1964 Nov;37:829-32. doi: 10.1016/0002-9343(64)90031-2.
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THE DIAGNOSIS OF IRON DEFICIENCY ANEMIA.缺铁性贫血的诊断
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