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KMID : 0377619950600030223
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Korean Jungang Medical Journal
1995 Volume.60 No. 3 p.223 ~ p.227
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Laboratory Diagnosis of Anemia based on Morphological Classification
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Abstract
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Anemia can be classified according to a deficient number of circulating red blood cells or a deficient hemoglobin concentration, or both.
A classification of anemia on the basis rbc morphology, as seen in the peripheral blood smear and supported by the quantitative measurement´s of cell size (MCV)and Hb. content and concentration (MCH and MCHC), can provide a valuable indications to the possible etiological mechanisms.
According to william R. platt, values found in anemia are 3.9 million/㎟ in men, rbc 3.2 million/㎟ in women, or Hb. conc. below 10.8gm/dl in men, Hb. conc. below 9.2 gm/dl in women.
We divided the anemia into 5 groups and made investigation to classify the causes of pure nutritional and their epidemiological relation´s to morphological classification and nutritional problem´s on 465 patients form 1 month to 78 year´s in this hospital for 1 year during Feb 1. 1993 Jan 31. 1994.
The obtained results are summarized a follow:
1) Anemia was most common under 10 years 132(28.36 %) respectively.
2) Major type of anemia by rbc morphology and index were normocytic normochromic 264 (57 %) macrocytic 84 (18 %) microcytic 68 (15 %) microcytic hypochromic 68 (14 %), normocytic hypochromic 19 (4 %).
3) Morphological classification of these anemia were generally high normocytic normochromic type 30 (60.00 %) in September, macrocytic 14 (29.78 %) in November, microcytic 8 (19.65 %) in Dec, microcytic hypochromic 13 (31.70 %) in December, normocytic hypochromic 3 (6.12-6.65%) in July and October.
4) Anemia was generally high risk under 10 year´s and low 11-20 and 41-50 year´s of age group, in adult age group, especially 31-40 years women were more high percentiles than men in comparison with each other 73 %. It seems likely to be caused by her pregnancy and child birth.
5) In most developing countries, there are urgent necessities of proper guidance for medical care and nutrition in these age group for future life of the nation.
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