问题 问答题

患儿男,5个月。面色苍白4个月。患儿为第1胎第1产,孕32周经产道分娩,出生体重2.1㎏。出生1月后面色逐渐苍白,无发热。智力发育及体格发育良好,母乳喂养,未添加辅食。查体:神清,精神好,体重7㎏。心肺听诊无殊,腹软,肝肋下1cm,质软。皮肤偏苍白,巩膜无黄染。无皮疹,无瘀斑瘀点。颈软,克氏征(-),双侧巴氏征(+)。查血常规:WBC9×109/L,N38%,L62%,PLT245×109/L,HgB90g/L,MCV76fl,MCH25pg,MCHC30%试题:1)该患儿最可能的诊断及诊断依据(2分)2)进一步需完善的检查(2分)3)确诊后如何治疗(3分)

答案

参考答案:

1)营养性缺铁性贫血(轻度)。(1分)诊断依据;1.5个月男婴,生长发育快2.系早产儿,母乳喂养,未添加辅食,生长发育快3.查体:体重7㎏。皮肤偏苍白,巩膜无黄染。无皮疹,无瘀斑瘀点。4.HgB90g/L,MCV76fl,MCH25pg,MCHC30%,白细胞,血小板,Ret正常(1分)2)有关铁代谢的生化检查(1分)(血清铁蛋白,FEP,SI、TIBC、TS,EF,骨髓可染铁)(1分)3)去除病因和补充铁剂(1分)。口服铁剂的剂量为元素铁每日4-6mg/Kg,分3次,餐间服用,加服维生素C(1分)。Hb恢复正常后继续服用铁剂6-8W,以增加铁储备(1分)。

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What’s in a surname You may ask. A new website project has been released, that helps you (1) . Have you ever wondered why your ancestors gathered where they did, or where others with your surname live now A research project (2) in Britain answers these questions. And another study has found the surnames are (3) .
"Smith", for example, remains the most common surname in Britain. Used by (4) people, it has exactly the same concentration it always did in Lerwick, in the Scottish Shetland Islands. "Jones" is (5) , and is the most common among hill farmers (6) .
The data used for this project comes partly (7) . A number of other files are held by Expairing, which is probably Britain’s (8) .
There’ re some of us who are fairly predictable. "Campbell", for example, as you might expect, is somewhat concentrated (9) , and it appears really bizarre to be found anywhere else.
Well, with 25,000 names as (10) , what you can do is put them in general categories, if, for example, you look at (11) . Like the name Webber, you might find it is much more common in the Midlands than (12) . If you go to Wales, most people get their names (13) . And in Yorkshire for example, a lot of people have names (14) that they originally lived in or at least their ancestors did.
Well, we only have 25, 000 names on this website, but there’re (15) now found in Britain and they’ re particularly interesting, for (16) . Most British names are fairly common. And about what we can now do as such is look for (17) from different parts of the world and different faiths, (18) . And what there is in names is actually extremely useful, for researchers in (19) may find a lot about (20) now living in this country.

What’s in a surname You may ask. A new website project has been released, that helps you (1) . Have you ever wondered why your ancestors gathered where they did, or where others with your surname live now A research project (2) in Britain answers these questions. And another study has found the surnames are (3) .
"Smith", for example, remains the most common surname in Britain. Used by (4) people, it has exactly the same concentration it always did in Lerwick, in the Scottish Shetland Islands. "Jones" is (5) , and is the most common among hill farmers (6) .
The data used for this project comes partly (7) . A number of other files are held by Expairing, which is probably Britain’s (8) .
There’ re some of us who are fairly predictable. "Campbell", for example, as you might expect, is somewhat concentrated (9) , and it appears really bizarre to be found anywhere else.
Well, with 25,000 names as (10) , what you can do is put them in general categories, if, for example, you look at (11) . Like the name Webber, you might find it is much more common in the Midlands than (12) . If you go to Wales, most people get their names (13) . And in Yorkshire for example, a lot of people have names (14) that they originally lived in or at least their ancestors did.
Well, we only have 25, 000 names on this website, but there’re (15) now found in Britain and they’ re particularly interesting, for (16) . Most British names are fairly common. And about what we can now do as such is look for (17) from different parts of the world and different faiths, (18) . And what there is in names is actually extremely useful, for researchers in (19) may find a lot about (20) now living in this country.