摘要
目的:探讨非铁摄入不足的成人缺铁性贫血(IDA)的病因。方法:对132例IDA患者通过询问病史、常规检查、纤维内镜和影像学检查明确病因。结果:消化道疾病占所有 IDA的 61.36%,其中肿瘤占 38.63%,<40岁的女性患者主要与月经过多有关。结论:消化道疾病是非铁摄入不足的成人 IDA的重要因素,≥40岁患者应警惕肿瘤的可能,伴有月经过多者应注意有无子宫肌瘤,病因诊断不明者应加强随访。
Objective: To investigate the etiology of iron deficiency anemia (IDA) with non-iron-up-taking-deficiency adults. Methods: The etiology in 132 patients with IDA were determined by inquiring the case history, routine examination and fiberscopic or image examination. Results: Of all the IDA patients, 61. 36% were diseases of the digestive system; among them 38. 63% were tumors. The females who were <40 years old were mainly associated with menorrhagia. Conclusion: the diseases of digestive system are the important factors of this kind of anemia. Patients ≥40 years old should be careful of potential tumors. Female patients who are menorrhagia should be careful of hysteromyoma. Patients whose etiology is unknown requires to be followed up.
出处
《南京军医学院学报》
2001年第4期232-233,共2页
Journal of Nanjing Military Medical College
关键词
成人
贫血
缺铁性
病因
adults
anemia ,iron deficiency
etiology