摘要
Abstract
To explore the diseases related to mean corpuscular volume ( MCV ) > 96fLin children. Methods 96 of 881 children were diagnosed with enlargement of MCV, and indexes such as MCV and red cell distribution width ( RDW ) of macrocytic anemia children were analyzed. Results Among 96 cases of enlargement of MCV,2 cases ( 2.1% ) were nutrious megaloblastic anemia. The rest were nonnutrious megaloblastic anemia (97.9%), including 2 cases of hypothyroidism, 4 cases with complications of chemotherapy, 11 cases of myelodysplastic syndrome ( MDS ), 21 cases of autoimmune hemolytic anemia ( AIHA ), 31 cases of aplastic anemia ( AA ), and 25 cases of leukemia. Heterogeneity in red blood cell volume was shown in nutrious megaloblastic anemia, most of MDS, AA, leukemia and AIHA. The incidence rates of different diseases were significantly different (X2= 60. 862,P= 0. 000 ). Conclusion Children macrocytic anemia is common in MDS, leukemia, AIHA, and AA. The proportion of nutrious megaloblastic anemia is relatively small in children macrocytic anemia.关键词
儿童/红细胞分布宽度/平均红细胞体积/平均红细胞体积Key words
children/red cell distribution width( RDW )/mean corpuscular volume( MCV )分类
医药卫生