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缺铁性贫血患者胃和十二指肠病变时的铁吸收情况

Iron absorption in gastric and duodenal pathology in patients with iron deficiency anaemias.

作者信息

Ryabov S I, Ryss E S

出版信息

Folia Haematol Int Mag Klin Morphol Blutforsch. 1976;103(6):906-14.

PMID:64433
Abstract

Absorption of radioactive iron was studied in 87 patients with different types of iron deficiency anaemias and in 23 healthy subjects. The subjects were given 1...2muci of radiactive iron in the form of FeSO4 together with 5 mg of nonradioactive iron as a carrier and 100 to 150 g of white bread, radioactivity on the whole body being studied with a big liquid scintillation counter 4 pi (BLSC-2). In clinical observations and in single experiments on volunteers there was no conformity of the values of absorption with the levels of acid-formation. But in the same time the gastric juice from an anaemic horse almost doubled iron absorption in healthy individuals. Marked morphological changes in the gastric mucosa inhibited the absorption in the intestine and the degree of increase of absorption in patients with anaemia depended to some extent on the morphological conditions of the gastric mucosa. When healthy subjects and patients with iron deficiency anaemia were given bread "enriched" with iron before baking instead of common bread with "external" mark there was observed similar correlation between the values of absorption but the figures were somewhat lower.

摘要

对87例不同类型缺铁性贫血患者和23名健康受试者进行了放射性铁吸收的研究。受试者口服1~2微居里硫酸亚铁形式的放射性铁,同时给予5毫克非放射性铁作为载体以及100至150克白面包,用大型4π液体闪烁计数器(BLSC - 2)研究全身放射性。在临床观察和对志愿者的单次实验中,吸收值与胃酸分泌水平不一致。但与此同时,贫血马的胃液几乎使健康个体的铁吸收增加了一倍。胃黏膜明显的形态学改变抑制了肠道吸收,贫血患者吸收增加的程度在一定程度上取决于胃黏膜的形态学状况。当给健康受试者和缺铁性贫血患者食用烘焙前“富含”铁的面包而非带有“外加”标记的普通面包时,观察到吸收值之间有类似的相关性,但数值略低。

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