1、贫血概述Anemia,广州医科大学 张还珠,Company Logo,Contents,Company Logo,Company Logo,Company Logo,Company Logo,Company Logo,海平面地区:我国 WHO成年男性 Hb120g/L Hb130g/L成年女性 Hb110g/L Hb120g/L孕妇 Hb100g/L Hb110g/L,Company Logo,Contents,Company Logo,分类,Company Logo,病因、发病机制分类,造血细胞造血原料 生成 破坏造血微环境 或失血,RBC,Hb,Company Logo,Contents,
2、Company Logo,O2,Company Logo,临床表现,贫血的病理生理学基础:血液携氧能力的降低,Company Logo,临床表现取决于:病因血液携氧能力下降的程度血容量下降的程度发生贫血的速度机体对缺氧的代偿和耐受能力,Company Logo,Company Logo,Company Logo,Company Logo,Company Logo,Company Logo,Company Logo,Contents,Company Logo,诊断,诊断步骤,Company Logo,诊断,诊断方法,病史,体格检查,实验室检查,Company Logo,一、血液检查,血常规 血涂
3、片网织红细胞(reticulocyte,Ret)计数:,Company Logo,Company Logo,Company Logo,二、骨髓(bone marrow)检查,骨髓涂片细胞学检查骨髓活检,Company Logo,Company Logo,Company Logo,三、病因和发病机制的检查,原发病的检查发病机制的检查,Company Logo,Contents,Company Logo,治疗,Company Logo,思考题,1、简述贫血的定义及分类2、贫血的诊断标准3、简述贫血的发病机制4、贫血的临床表现有哪些?5、简述贫血的治疗原则,Company Logo,THE ENDThank You,