Mikhaĭlova L, Keon E, Raĭkova K
Vutr Boles. 1981;20(6):114-21.
The content of the microelements (ME) iron, copper and zinc was determined in healthy subjects and patients with iron deficiency anemia (IDA), aged 17 to 86, subdivided into three groups: First group--51 healthy females with iron, copper and zinc levels, close to those reported in literature, the same values used for the control groups. The second group--61 females with IDA had mean copper value higher than the control norms and those of the other authors--23,842 mumol/l (151.48 mkg%). Zinc content in serum was lower than the norm. A parallel determination of serum iron was performed according to Beta-phenantroline method and AAC method with affirmative aim. The IDA group were distributed into three subgroups, depending on the causes, leading to iron deficiency: First subgroup--28 patients with undistinguished cause of iron deficiency: Second subgroup--19 patients with diseases, causing acute and chronic blood losses. Third subgroup--14 patients with various diseases (inflammatory diseases, states after difficult operations, hemopathies, etc.) without blood loss. Low serum iron was found in the three subgroups, determined according to both methods and high ISC. Serum copper level was high in the first and second subgroups, being highest in some patients with uterine myoma and gastric polyps. Serum zinc level was decreased in the second and third subgroups. The normal values of zinc in the serum of the first subgroup were associated with the absence of blood loss. Zinc is recommended to be added to the treatment of IDA.
对年龄在17至86岁的健康受试者和缺铁性贫血(IDA)患者的微量元素(ME)铁、铜和锌含量进行了测定,这些受试者和患者被分为三组:第一组——51名健康女性,其铁、铜和锌水平与文献报道相近,这些数值用于对照组。第二组——61名患有IDA的女性,其平均铜值高于对照标准以及其他作者报道的值——23,842 μmol/l(151.48 μg%)。血清锌含量低于标准。采用β - 菲啰啉法和AAC法平行测定血清铁,目的明确。IDA组根据导致缺铁的原因分为三个亚组:第一亚组——28名缺铁原因不明的患者;第二亚组——19名患有导致急性和慢性失血疾病的患者。第三亚组——14名患有各种疾病(炎症性疾病、大手术后状态、血液病等)但无失血的患者。根据两种方法测定,这三个亚组的血清铁含量均较低,血清铁结合力(ISC)较高。第一和第二亚组的血清铜水平较高,在一些子宫肌瘤和胃息肉患者中最高。第二和第三亚组的血清锌水平降低。第一亚组血清锌的正常数值与无失血有关。建议在IDA治疗中补充锌。