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目的了解西藏地区甲状腺疾病合并贫血的状况。方法回顾性分析对2005年7月至2007年5月西藏自治区人民医院内一科249例资料完整的甲状腺疾病患者甲状腺功能、血常规等检查,了解甲状腺疾病与贫血的关系。结果甲亢合并贫血发生率占甲亢组的11.54%;甲减合并贫血发生率占甲减组的6.25%。贫血类型分布:甲亢组正常细胞性贫血13例(72.22%),小细胞低色素性贫血3例(16.67%),大细胞性贫血2例(11.11%);其中女性贫血患者占贫血总数的88.89%;藏族占94.44%;甲减组正常细胞性贫血2例(66.67%),小细胞低色素性贫血1例(33.33%);其中女性贫血患者占贫血总数的100%;藏族占66.67%。结论西藏地区甲亢及甲减合并贫血发生率分别为11.54%、6.25%;贫血类型呈多样性,以正常细胞性贫血为主;贫血程度较轻。贫血原因为多因素所致。
Objective To understand the status of thyroid disease with anemia in Tibet. Methods A retrospective analysis of thyroid function and blood routine examination of 249 patients with thyroid disease in the First Hospital of Tibet Autonomous Region People’s Hospital from July 2005 to May 2007 was conducted to understand the relationship between thyroid disease and anemia. Results Hyperthyroidism with anemia accounted for 11.54% of hyperthyroidism group; hypothyroidism and anemia accounted for 6.25% of hypothyroidism group. Anemia type distribution: hyperthyroidism group of normal cell anemia in 13 cases (72.22%), small cell hypochromic anemia in 3 cases (16.67%), 2 cases of large cell anemia (11.11%); of which female anemia patients accounted for the total number of anemia 88.89 %; Tibetans accounted for 94.44%; hypothyroidism in 2 cases of normal cell anemia (66.67%), 1 cases of small cell hypochromic anemia (33.33%); female anemia accounted for 100% of the total anemia; Tibetan 66.67%. Conclusions The prevalence of hyperthyroidism, hypothyroidism and anemia in Tibet is 11.54% and 6.25%, respectively. The types of anemia are diverse, with normal cellular anemia as the main cause, and mild anemia. Anemia due to multiple factors.