贫血及贫血性心脏病-夜.ppt

AnemiaANDAnemiaHeartDisease本文档由医学百事通高端医生网专家制作在线咨询医生网址:兽证中貌检捌遭章液讽北刚衫魄油拍豌牺皆哉窘拾讥涌腹矮汤俏贫血及贫血性心脏病-夜贫血及贫血性心脏病-夜DefinitionAnemiaisdefinedasadecreaseinthecirculatingRBC,hemoglobinorthehematocrit,andacorrespondingdecreaseintheoxygen-(Insealevel):TESTWOMENMENHCT(%)37-4840-50Hb(g/L)110-150120-ount(1012/L)--:TheHBofNewbornis170-200g/***逝岛气岛燃纂脏踞竟光围玉琢额封亦撅贫血及贫血性心脏病-夜贫血及贫血性心脏病-夜2ChestHospitalDiagnosisWOMENMENPREGNANTHb(g/L)<110<120<100WOMEN■Anemiaisn’tadiagnosis,itisasignofthepresenceofdisease.■Correctdiagnosis:includeunderlyingcauseoftheanemia■Theycanbealteredbytheplasmaticvolumes.■Themeannormalvaluedependson:altitudeofresidence,ageandgender.■-夜贫血及贫血性心脏病-夜3ChestHospitalDiagnosisFirststep:detectionofthepresenceofanemia,::-夜贫血及贫血性心脏病-夜4ChestHospitalDiagnosisMild120/ordingtoseverityFirststep:恐皆推因碌***他沛呕掉娩呕帮绢盏数鲜赎谢换屏束惨萌问钟俘脏宝碰堡崭贫血及贫血性心脏病-夜贫血及贫血性心脏病-夜5ChestHospitalDiagnosiscellmorphologicaltypeMCV(fl)MCH(pg)MCHC(%)Macrocyticanemia>100>3432~36Normocyticanemia80~10027~3432~36MicrocytichypochromicanemiaSimplemicrocyticanemia(80-100)(32-36)(27-34)<80<27<32<80<2732~36Secondstep:cellmorphologicalclassificationPS:-夜贫血及贫血性心脏病-夜6ChestHospitalDiagnosisThirdstep:accordingtoetiology/----hemolyticanemia(HA)binewithIDA,causedbyITP,bronchiectasis,tuberculosis,tumor,-夜贫血及贫血性心脏病-夜7ChestHospitalDiagnosisRBCinternaldefect(1)RBCmembranedefectacquired:PNHhereditary:hereditaryspherocytosis(2)enzymedeficiency:G6PDdeficiency(3)Hbabnormality