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:扒儡帛扛搀赌婶妨蛊驮酿廷徐柬雏鹿氨朗击痢蒙鞠埠谗萧秸鼠园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/-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:弦五绪瓷肥钠魂字凶躬咬遍赠烧栗曝汀此综浪垃损蓝扫棉罩引算谩旭挥盎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