贫血及贫血性心脏病夜.pptx

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:stHospitalDefinitionAnemiaisdefinedasadecreaseinthecirculatingRBC,hemoglobinorthehematocrit,andacorrespondingdecreaseintheoxygen-(Insealevel):TESTWOMENMENHCT(%)37-4840-50Hb(g/L)110-150120-ount(1012/L)--:TheHBofNewbornis170-200g/(g/L)<110<120<100WOMEN■Anemiaisn’tadiagnosis,itisasignofthepresenceofdisease.■Correctdiagnosis:includeunderlyingcauseoftheanemia■Theycanbealteredbytheplasmaticvolumes.■Themeannormalvaluedependson:altitudeofresidence,ageandgender.■:detectionofthepresenceofanemia,:::6ChestHospitalDiagnosiscellmorphologicaltypeMCV(fl)MCH(pg)MCHC(%)Macrocyticanemia>100>3432~36Normocyticanemia80~10027~3432~36MicrocytichypochromicanemiaSimplemicrocyticanemia(80-100)(32-36)(27-34)<80<27<32<80<2732~36Secondstep:cellmorphologicalclassificationPS::accordingtoetiology/----hemolyticanemia(HA)binewithIDA,causedbyITP,bronchiectasis,tuberculosis,tumor,(1)RBCmembranedefectacquired:PNHhereditary:hereditaryspherocytosis(2)enzymedeficiency:G6PDdeficiency(3)Hbabnormality:hemoglobinopathy,Thalassemia(4)porphyrinmetabolism:porphyrinopathyExopathicimmunologic(AIHA),chemical,biological,orphisicalfactorsUsually<mdiameterMicrospherocytes:<4:ImmunologicreactionPhysicaltrauma(dacryocyte)(spherocyte)(elliptocyte)(stomatocyte)