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[缺铁性贫血中血清铁蛋白的评估及其在分剂量胃肠外铁剂治疗过程中的变化]

[Evaluation of blood ferritin in sideropenic anemia and its modifications in the course of divided-dose parenteral iron therapy].

作者信息

Bonanni F, Amedeo A, Barbetti V, Bertolazzi R, Cappuccino V, Giudici Cipriani A, Operto L, Artom A, Rembado R

出版信息

Minerva Med. 1983 Apr 7;74(14-15):799-803.

PMID:6835567
Abstract

Changes in blood ferritin during divided dose parenteral iron therapy and the importance of ferritin evaluation in iron-deficiency anaemia were investigated in 20 women and 10 men with this diagnosis through withdrawals before and after treatment. In 6 subjects, blood ferritin values enabled the presence of iron deficiency to be ruled out, since they were high at the first control (in agreement with the histological examination of the marrow in the search for iron deposits). In sideropenic males, the difference between values at the time of diagnosis and those of normal controls was significant (p less than 0.001). The absence of this finding in the females may have been due to over-low values in the normal controls. Blood ferritin values during therapy gradually rose until its termination. The conclusion is drawn that at any rate in males the determination of blood ferritin can be a useful aid in the diagnosis of iron-deficiency anaemia, and in the demonstration of normal reserves after treatment.

摘要

通过对20名女性和10名男性进行缺铁性贫血诊断,并在治疗前后进行血液样本采集,研究了分剂量胃肠外铁剂治疗期间血铁蛋白的变化以及铁蛋白评估在缺铁性贫血中的重要性。在6名受试者中,血铁蛋白值在首次检查时较高(与骨髓组织学检查寻找铁沉积结果一致),从而排除了缺铁的可能性。在缺铁性男性中,诊断时的值与正常对照组的值之间的差异具有显著性(p小于0.001)。女性中未出现此结果可能是由于正常对照组的值过低。治疗期间血铁蛋白值逐渐上升直至治疗结束。得出的结论是,至少在男性中,血铁蛋白的测定有助于缺铁性贫血的诊断以及治疗后正常储备的证明。

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