ANALYSIS OF INAPPROPRIATE DIAGNOSIS IN 12 CASES CHRONIC NEPHROPATHIC ANEMIA[J]. Journal of Chongqing Medical University, 1986,(4):262-264. DOI: 10.13406/j.cnki.cyxb.1986.04.010.
12例肾性贫血误诊原因的分析
摘要
有些慢性肾脏疾病引起的贫血
由于患者病史或临床上缺乏典型表现
一般尿常规的发现又不显而未加注意
或同时伴发可以解释贫血的种种疾病
遂使慢性肾病性贫血长期未能得到正确诊断
对这类患者
包括经铁剂治疗一度见效的病人
尿常规的轻微变化不可忽视
必要的肾功能检查不可放弃
Abstract
Twelve cases of chronic nephropathic anemia were misdiagnosed as iron deficiency anemia
anemia secondary to gastrointestinal bleeding
hemolytic anemia
or anemia undetermined causes. It is emphasizes that no urinary finding
no matter how light it may seen
should be neglected and renal function test should be performed in any case with anemia when the underlying causes are unsettled as the history of nephropathy may not he present in every case and slight urinary findings may be a good clue to the serious primary disease
关键词
慢性肾病性贫血缺铁性贫血消化道出血溶血性贫血尿常规肾功能检查
Keywords
Chronic nephropathic anemiaIron deficiency anemiaGastrointestinal bleedingHemolytic anemiaUrinalysisRenal function test