IDA(缺铁性贫血)PPT幻灯片.pptVIP

1、IDA: is a gradual process which can be divided into 3 stages, ie, ID stage, IDE stage and IDA stage. 2、Ferritin is the most sensitive marker for IDA; 3、Once Hbhas been recovered to normal level, iron agents should be used continuesllyfor another 2 months. * Diagnosis and differential diagnosis Diagnosis: History clinical manifestation lab tests Differential diagnosis:(Hypochromic and microcytic anemias) ?thalassemia, ?lead poisoning, ?chronic infection etc. * Treatment 1.Looking for etiology and modify feeding formula; 2. Medications: iron agents for Oral: ferrous gluconate, ferrous sulfate; for Inj: Ferrous dextran; dosage: 3-6mg elemental iron/kg/day, 3 divided doses Responses: reticulocyte 2-3d ??,5-7d to peak, 2-3wks to normal. Hb 1-2wks , 3-4wks correction anemia. Caution: continue to give iron for 4-6 months(India) 6-8 wks(China) after Hb becomes normal. * Blood Transfusion when it is necessary. 1. severe anemia with congestive cardiac failure 2. with severe infection 3. need surgery Hb 60g/L, red cell transfusion , 4-6ml/kg HB60g/L, NO. * Prevention 1. Health propaganda and councilling; 2. Adequate diet for pregnant mothers; 3. Correct feeding for baby; 4. Treatment of diseases: GI disorders, parasitesetc. * Megaloblastic Anemia * Defination: Nutritional VitB12 or folic acid deficiency anemia was defined as the deficiency in either VitB12 or Folic acid. * In India, 6.8% children had folate deficiency, 32% showed vinB12 deficiency and combined deficiency China--rare * Metabolism of VitB12 and Folic acid Folic acid: Food: