Clasificarea anemiilor

Se msoar: CCMH
= 30
VGM
= 90
Reticulocite =4%

Anemie

CCMH sau VGM

Hipocromie (AH)

Uyhuc

(se dozeaz Fe-ul seric N=50-170g/dl)

Fe seric < N

AH hiper- sau
normosideremic

Refacere hemoleucogram
A 2-a dozare a Fe-ului seric
studiul sideroblastelor

- hemoglobinopatie
Caren de Fe (talasemie)
Sngerri
- toxic
- genetic

AN regenerativ

sngerare

reticulocite

BB indir

Coombs

reticulocite 5-10%

AN aregenerativ

Dozeaz bilirubina
Testul Coombs

hemoliz
Coombs +

Normocromie (AN)

Fe seric N

AH
sideropenic
/ ie
Inflama
feripriv
Inflamaie

CCMH normal

Aplazie

medulogram

Metastaze
Leucoz acut
Anemie megaloblastic

Insuf Renal
Endocrinopatie

AH autoimun
- Toxic
- Septicemie
- Paludism
Hematii pe lame
- Sdr hemolitic uremic
Rezisten globular
AH congenital

Electroforeza Hb
Dozaj enzimatic
CCMH = conc corpuscular medie de Hb

VGM = volum globular mediu