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袁女士半年以来总感乏力和头昏,医生检查后给予口服铁剂治疗2个月,病情一度好转,但不久症状又加重,检查血红蛋白较前更低。医生仔细追问病史,知其长期月经不调,每次失血过多。根据这一情况,内科与妇科医生配合,调理月经,小量输血和继续给予口服铁剂。3个月后,袁女士贫血得以纠正,血红蛋白升至10.5克,症状亦随之消失。评介:袁女士的贫血诊断无误,补铁也是合理的,可是效果不满意,原因都在于对其原发病因未引起足够重视,继续失血现象仍然存在。因此,对于
Ms. Yuan felt fatigue and dizziness for half a year. After the doctor checked oral iron for 2 months, her condition was improved. However, her symptoms were aggravated soon afterwards. Hemoglobin was lower than before. Careful medical history, I know its long-term irregular menstruation, each bleeding too much. According to this situation, medical and gynecology physicians, menstrual period, a small amount of blood transfusion and continue to give oral iron. Three months later, Ms. Yuan anemia was corrected, hemoglobin rose to 10.5 grams, the symptoms also disappear. Review: Miss Yuan diagnosis of anemia, iron supplementation is reasonable, but the results are not satisfied, the reason is that its primary cause has not been given enough attention to continue the phenomenon of blood loss still exists. So for