胃部分切除术后缺铁
Iron deficiency after partial gastrectomy.
作者信息
HOBBS J R
出版信息
Gut. 1961 Jun;2(2):141-9. doi: 10.1136/gut.2.2.141.
Abstract
Iron-deficiency anaemia will develop in half the males and nearly all females after partial gastrectomy, and in addition to causing the anaemia the sideropenia may cause any general symptoms such as lassitude, failure to maintain weight, or dumping symptoms. The variable response to treatment is due to the fact that ferrous iron is not adequately released from coated tablets taken after meals and rapidly emptied from the gastric remnant. Treatment with chelated iron is more reliable, and one tablet taken on lying down each night is adequate in the treatment of mild anaemia and for its prevention in women during the reproductive life.
摘要
部分胃切除术后，半数男性和几乎所有女性会患上缺铁性贫血，除了导致贫血外，缺铁还可能引发诸如疲倦、体重难以维持或倾倒综合征等一般症状。治疗反应不一，原因是饭后服用的包衣片不能充分释放亚铁，且会迅速从胃残端排空。螯合铁治疗更可靠，每晚躺卧时服用一片就足以治疗轻度贫血并预防育龄期女性贫血。
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