Can the cause of anemia be seen from the test sheet?

OK. Based on clinical experience, the cause of anemia in patients can be seen in the laboratory test sheet.

1. Red blood cell count: if the number of red blood cells in the patient is reduced, it may be caused by iron deficiency anemia; When the number of platelets is low, it may be associated with aplastic anemia;

2. Mean corpuscular volume (MCV) and mean corpuscular hemoglobin content (MCHC): if MCV or MCHC is elevated, it indicates that there may be a greater possibility of megaloblastic anemia; If both are low, it suggests hemolytic anemia or other disorders;

3. Percentage of reticulocytes: Reticulocytes are immature red blood cells, which are one of the important indicators reflecting the hematopoietic function of bone marrow.Under normal circumstances, the proportion of reticulocytes in the human body fluctuates between 0-5%, so it can be used as an important basis for determining the presence of hemolytic disease;

4. Total bilirubin (TBIL) and direct bilirubin (DBIL): Bilirubin is a metabolite produced by hemoglobin breakdown in senescent red blood cells. TBIL refers to the sum of all forms of bilirubin in the blood, including both indirect and direct bilirubin. DBIL is the result of the liver's conversion of indirect bilirubin to direct bilirubin. If both values are increased, abnormal liver function, such as jaundice hepatitis,cirrhosisWait. If only one of them rises, it may be caused by other factors, such as the effects of certain drugs or problems with the autoimmune system.

Through the changes in the above examination data, the doctor can initially understand the specific cause of anemia, and combine the medical history and other ancillary tests to determine the diagnosis and formulate the appropriate treatment plan.