12、执师考点-血液（12, the division test site - blood）.doc

12、执师考点-血液（12, the division test site - blood） Blood system 1 anemia refers to the peripheral blood in the unit volume of Hb concentration, RBC/ hematocrit is lower than the normal limit. The concentration of Hb is more important. 2, anemia criteria: Hb: male 120mg/L, female 110mg/L; hematocrit: male 0.42, female 0.37 3. Cytological classification of anemia: Type MCV MCH MCHC Megaloblastic anemia (megaloblastic anemia) 100 32 32-35 Anemia (aplastic anemia, renal failure) 80-100 26-32 32-35 Small cell anemia (chronic anemia) 80 26 32-35 Small cells with low pigmentation (iron deficiency), 80, 26, 32 4, iron deficiency anemia is the body used to synthesize hemoglobin storage iron deficiency, so that the synthesis of heme synthesis decreased by the formation of a small cell, low pigmented anemia, is the most common anemia. 5, iron absorption conditions: two valence iron, acidic environment, reducing agent in. 6. Chronic bleeding is the most common cause of iron deficiency anemia. 7, iron deficiency anemia clinical manifestations: pharyngeal obstruction, dry skin, anti nail, pica. 8 iron deficiency anemia: serum iron, 500ug/L, total iron binding capacity increased by 3600mg/L, bone marrow and intracellular iron decreased. 9, iron deficiency anemia, characterized by lower hemoglobin than red C obvious. 10, the diagnosis of iron deficiency anemia is the most certain basis: bone marrow small particles can be dyed to disappear (storage iron, including iron and iron and ferritin). 11, iron deficiency anemia is the most reliable diagnosis: serum iron lowering, based on early laboratory: serum ferritin decreased. 12, iron deficiency anemia red blood cell shape: small cell low pigment (center pale dye area enlargement). 13 、 serum ferritin is lower than 12ug/L, which can be used as the basis for diagnosis of iron deficiency anemia. Most sensitive, preferred. The diagnosis was made by iron staining of bone marrow. 14, the principle of application of iron: high iron content, easy