Hayton B A, Broome H E, Lilenbaum R C
Department of Medicine, University of California, San Diego 92103-8421.
Am J Hematol. 1995 Jan;48(1):45-7. doi: 10.1002/ajh.2830480109.
A patient with a history of partial gastrectomy presented with severe anemia, neutropenia, intestinal malabsorption, and was found to be severely copper-deficient. The anemia and neutropenia corrected promptly with the administration of intravenous cupric chloride. This case suggests that partial gastrectomy with or without intestinal malabsorption can result in copper deficiency and should be considered in differential diagnosis of severe anemia and neutropenia.
一名有胃部分切除术病史的患者出现严重贫血、中性粒细胞减少、肠道吸收不良，并且被发现严重缺铜。静脉注射氯化铜后，贫血和中性粒细胞减少迅速得到纠正。该病例表明，无论有无肠道吸收不良，胃部分切除术都可能导致铜缺乏，在严重贫血和中性粒细胞减少的鉴别诊断中应予以考虑。
