IrondeficiencyAnemia缺铁性贫血课件.pptVIP

Iron helps red blood cells carry oxygen to the body and plays a key role in brain and muscle function. A lack of iron in the blood can lead to iron-deficiency anemia, a common nutritional deficiency . Every red blood cell in the body contains iron in its hemoglobin, the protein that carries oxygen to the bodys tissues from the lungs. Iron gives hemoglobin the strength to carry (bind to) oxygen in the blood, so that oxygen gets to where it needs to go. People who become iron deficient means that the body cant make hemoglobin, so it makes fewer red blood cells. This is a condition called anemia. Iron is essential to hemoglobin production. Etiology Blood Loss Gastrointestinal Tract胃肠道 Menstrual Blood Loss月经失血 Urinary Blood Loss (Rare)尿失血(罕见) Blood in Sputum (Rarer)血痰(罕见) Increased Iron Utilization利用率,生长发育快 Pregnancy Infancy出生后3-5月 Adolescence青春期 Polycythemia Vera红细胞增多 Malabsorption吸收不良 Tropical Sprue热带口炎性腹泻 Gastrectomy胃切除术 Chronic atrophic gastritis慢性萎缩性胃炎 insufficient iron in the diet.铁摄入不足 乳类/谷类食物含铁低 Groups of people at higher risk Girls and women their bodies cant store as much iron and lose blood during menstruation. Infants and children affected by mothers, drink excessive amounts of milk Athletes exercise often tend to lose more iron Vegetarians iron from plant sources is more difficult absorbed symptoms 鉴别诊断 （Differential diagnosis) 诊断： 初步： age年龄,deit,growth, hemogram血象 确诊： Iron metabolism and biochemical 铁代谢生化 证实： 治疗 Diagnosis Useful tests include the following: Complete blood count全血球计数 Serum iron血清铁, total iron-binding capacity 总铁结合力(TIBC), and serum ferritin血清铁蛋白 Evaluation for hemosiderinuria含铁血黄素尿 , hemoglobinuria血红蛋白尿, pulmonary hemosiderosis肺含铁血黄素沉积 治 疗 (Treatment) 铁剂治疗 元素铁剂量： 4-6mg/kg/d 口服铁剂 铁剂疗效观察 Etiology病因 Clinical manifestations临床表现 Differential diagnosis鉴别诊断 Treatment治疗 Iron-Deficiency Anemia Clinical manifestations General Hemopoietic s