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巨幼细胞性贫血虽症状多样,但以消化道症状表现为主。本文采用纤维胃镜对该类患者的消化道粘膜进行观察,从而探讨消化道症状的病理基础。 1 资料与方法 1.1 诊断标准:巨幼细胞性贫血诊断依据:①病史和症状、体检符合;②大椭圆红细胞贫血象;③骨髓呈巨幼细胞变;④叶酸、B_(12)治疗后贫血与症状明显改善;⑤除外肝病、恶性肿瘤、药物、下消化道疾病、其他血液病以及妊娠、胃切除等所致巨幼细胞性贫血。
Although megaloblastic anemia and diverse symptoms, but mainly gastrointestinal symptoms. In this paper, the use of fiber endoscopy in patients with gastrointestinal mucosa observed in order to explore the pathological basis for gastrointestinal symptoms. 1 Materials and Methods 1.1 Diagnostic criteria: Megaloblastic anemia diagnosis based on: ① history and symptoms, physical examination; ② large oval red blood cell anemia; ③ bone marrow showed megaloblastic changes; ④ folic acid, B_ (12) after treatment of anemia and Symptoms were significantly improved; ⑤ except for liver disease, cancer, drugs, lower gastrointestinal diseases, other blood diseases and pregnancy, gastrectomy due to megaloblastic anemia.