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我院儿科1071年7月至1981年12月共收治营养性巨幼细泡性贫血32例,占同期住院病人O.5%,占营养性贫血22.2%。现将32例分析如下: 诊断标准:(1)病史中有喂养不当,营养缺乏史。(2)有典型的临床症状及体征(即除贫血外,具本病特有的神经症状如嗜睡、神呆、反应迟钝、少哭懒笑或震颤。)(3)血红蛋白和红细胞数低于正常,并以红细胞数减低较血红蛋白减低为甚。(4)应用叶酸、维生素B_(12)治疗有明显效果。
Pediatric department of our hospital from July 1071 to December 1981 were treated 32 cases of vegetative megaloblastic anemia, accounting for O.5% of hospitalized patients in the same period, accounting for 22.2% of nutritional anemia. Now 32 cases are analyzed as follows: Diagnostic criteria: (1) history of improper feeding, lack of nutrition history. (2) typical clinical symptoms and signs (ie, except for anemia, with the unique neurological symptoms of the disease such as lethargy, dizzy, unresponsive, lazy laugh or tremor.) (3) hemoglobin and red blood cell count is lower than normal , And to reduce the number of red blood cells more than hemoglobin reduction is even worse. (4) The application of folic acid, vitamin B_ (12) treatment has a significant effect.