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目的 探讨糖尿病并发贫血病人骨髓象特征及其临床意义。方法 对 2 3例 2型糖尿病并发贫血病人作胸骨或髂骨穿刺涂片进行骨髓象分析。结果 18例红系造血无明显形态学异常病例中 ,14例诊断为糖尿病肾病 ,5例红系造血有形态学异常改变的病人中 ,2例诊断为缺铁性贫血 ,2例为MDS ,另一例为巨幼细胞性贫血。结论 对糖尿病并发贫血病人作骨髓检查 ,有助于判断贫血的原因。
Objective To investigate the characteristics of bone marrow in diabetic patients with anemia and its clinical significance. Methods Twenty-three patients with type 2 diabetes mellitus complicated with anemia underwent sternal or ilium biopsy for bone marrow imaging. Results Among 18 cases of erythrocytic hematopoietic without obvious morphological abnormalities, 14 cases were diagnosed as diabetic nephropathy, 5 cases were diagnosed as iron deficiency anemia in 5 cases of erythrocyte hematopoietic abnormalities, 2 cases were MDS, One case is megaloblastic anemia. Conclusion It is helpful to determine the cause of anemia in patients with diabetes complicated with anemia for bone marrow examination.