血液とリンパのジャーナル

鉄欠乏性貧血およびベータサラセミア形質の診断における赤血球分布幅（rdw）の診断精度

Abstract

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???????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? (CBC) ??????????????????????????? (RDW) ???? CBC ??????????????????????????????????? (?????) ?????????????RDW ? IDA ??????????????????????????????????????????????? IDA ???????????????????????????????????????????????????????????????????????????? IDA ???????????????????????????

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???????????? (IDA) ????????????? (TT) ???? RDW ???????????????????????????????????????????????????Hb ??????????????????????????RDW ???????????????????????????????? IDA ???????????????????

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??????2019?9???2019?11?????????????????????????????????????????????115?????????1?????2?2?????????????????????1???1???50???????IDA??????????????????<11g/dl?????????MCV?<26fl?????????????MCH?<76g/dl????????<15ug????????1????????????2?????????Hb?????Hb A2??>3.5?????????TT?????????????

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???? 1 ?????? Hb ? 7.5g/dl (SD±1.74)??? MCV ? 68.9 fL (SD±16.7)??? MCH ? 20.3 pg (SD±6.6)??? RDW ? 21.4 % (SD±4.4) ???????? 2 ?????? Hb ? 11.0 g/dl (SD±1.72)??? MCV ? 60.9 fL (SD±4.9)??? MCH ? 18.4 pg (SD±1.21)??? RDW ? 16.3 % (SD±1.0) ???????? 1 ????? 2 ? RDW ??????????? (p ? <0.001)????? 1 ???RDW ???? 75.8%????? 84.6%??????? 61.11%??????? 91.6% ???????? 2 ???RDW ???? 69.2%????? 82.7%??????? 85.7%??????? 64.2% ????

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RDW ? IDA ???????????????????IDA ???? TT ???????