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营养性巨幼细胞贫血在陕西一些县有较高的发病率。典型病例不难诊断,但一些临床表现特殊或不典型的病例有时造成误诊,现将我院误诊病例报告如下。资料及方法我院内科1956年1月—1979年1月收住院治疗220例巨幼细胞贫血。这些病例的诊断标准是:1.有长期营养缺乏史;2.周围血中血红蛋白与红细胞数低于正常;3.骨髓中出现巨幼红细胞,但不伴有原始细胞显著增多现象;4.应用叶酸和/或维生素B_(12)治疗有明显的疗效;
Nutritional megaloblastic anemia in some counties in Shaanxi have a higher incidence. Typical cases are not difficult to diagnose, but some cases of special or atypical clinical manifestations sometimes result in misdiagnosis, now my hospital misdiagnosed cases are as follows. Materials and Methods Department of Internal Medicine in January 1956 January 1979 January hospitalized 220 cases of megaloblastic anemia. The diagnostic criteria for these cases are: 1. history of chronic nutritional deficiencies; 2. peripheral blood hemoglobin and red blood cell count is lower than normal; 3. megaloblastic bone marrow, but not significantly increased with the phenomenon of primitive cells; 4. Application Folic acid and / or vitamin B_ (12) treatment has a significant effect;