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1979年10月～1981年2月收治缺铁性贫血24例,男8例,女16例,最小17岁,最大56岁。诊断正确者3例,诊断含糊者5例,诊断错误者16例。本文探讨一些缺铁性贫血的误诊、漏诊、拖治原因,现报告如下: 一、误诊原因(一) 对女性患者的特殊性认识不足,见有头昏、心跳就认为是神经官能症。例1 姚××,女,30岁。因头昏、心跳1年多,诊断神经官能症,常服谷维素、安定、三溴片无效。1980年8月19日来院门诊。检查:轻度贫血貌,血压,心肺,腹部均正常,下肢无肿,手无震颤,月经周期正常,经量多、有血块,色鲜红,血红蛋白8g,红细胞325万,网织红细胞0.9%,血清铁62μg%,红
From October 1979 to February 1981, 24 patients were admitted with iron deficiency anemia, including 8 males and 16 females, the youngest was 17 years old and the oldest was 56 years old. 3 cases were diagnosed correctly, 5 cases were diagnosed ambiguously, and 16 cases were diagnosed incorrectly. This article discusses some of the causes of misdiagnosis, missed diagnosis and delayed treatment of iron deficiency anemia. The report is as follows: First, the causes of misdiagnosis (A) lack of awareness of the particularity of female patients, see a dizziness, heartbeat is considered neurosis. Example 1 Yao × ×, female, 30 years old. Due to dizziness, heart rate more than 1 year, diagnosis of neurosis, regular service oryzanol, stability, tribromide tablets invalid. August 19, 1980 came to the hospital. Check: mild anemia, blood pressure, heart and lungs, abdomen were normal, no swelling of the lower extremities, no hand tremor, normal menstrual cycle, the amount of blood clots, red, hemoglobin 8g, red blood cells 3.25 million, reticulocyte 0.9% Serum iron 62μg%, red