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目的分析缺铁性贫血(iron deficiency anemiaI,DA)与老年消化道肿瘤患者的关系,及早确立病因诊断。方法对2005年9月—2009年9月我院收治缺铁性贫血伴有消化道肿瘤老年患者48例,住院过程中行实验室及内镜检查,结合其临床表现,进行追踪观察分析。结果本组48例缺铁性贫血患者中,其中结肠癌25例,胃癌16例,直肠癌5例,食管癌2例。结论对于老年缺铁性贫血患者,要考虑到消化道肿瘤的可能,应注意全面系统检查,以防漏诊、误诊。
Objective To analyze the relationship between iron deficiency anemia (DA) and elderly patients with gastrointestinal cancer and to establish etiological diagnosis as early as possible. Methods From September 2005 to September 2009, 48 cases of elderly patients with iron-deficiency anemia and gastrointestinal cancer admitted to our hospital underwent laboratory and endoscopic examination during hospitalization, and their clinical manifestations were observed and analyzed. Results Of the 48 patients with iron deficiency anemia, there were 25 cases of colon cancer, 16 cases of gastric cancer, 5 cases of rectal cancer and 2 cases of esophageal cancer. Conclusion For elderly patients with iron deficiency anemia, taking into account the possibility of gastrointestinal cancer, should pay attention to a comprehensive systematic examination to prevent misdiagnosis.