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[血清铁蛋白、血清铁及铁结合能力在小细胞低色素性贫血鉴别诊断中的价值]

[The value of serum ferritin, serum iron and iron-binding capacity in the differential diagnosis of microcytic hypochromic anemia].

作者信息

Frey R, Grimm J, Trachsler M, Rhyner K

出版信息

Schweiz Med Wochenschr. 1982 Jan 2;112(1):13-7.

PMID:7058313
Abstract

Ferritin, iron, total iron binding capacity and transferrin saturation were measured in the serum of 247 patients with microcytic hypochromic anemia. Differentiation into various categories of microcytic hypochromic anemia was based on clinical criteria and on the response to iron treatment. This produced 147 patients with iron deficiency anemia, 35 patients with anemia secondary to infection, 27 patients with anemia due to tumor and 38 patients with thalassemia. Analysis of the iron parameters revealed the reliability of both serum ferritin and transferrin saturation in distinguishing between the various forms of anemia. However, measurement of serum ferritin is slightly more reliable and much less expensive than determination of transferrin saturation.

摘要

检测了247例小细胞低色素性贫血患者血清中的铁蛋白、铁、总铁结合力和转铁蛋白饱和度。根据临床标准和对铁治疗的反应将小细胞低色素性贫血分为不同类型。其中缺铁性贫血患者147例,感染继发贫血患者35例,肿瘤性贫血患者27例,地中海贫血患者38例。对铁参数的分析表明,血清铁蛋白和转铁蛋白饱和度在区分不同类型贫血方面均具有可靠性。然而,血清铁蛋白检测的可靠性略高,且比转铁蛋白饱和度测定便宜得多。

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