【正文】
,第三十五頁,共四十四頁。,HEMATOLOGY/ONCOLOGY, CHILDREN’S HOSPITAL,Table: Ferrous salts ant the iron contents,第三十六頁,共四十四頁。,Iron therapy Infusion iron indication types:,HEMATOLOGY/ONCOLOGY, CHILDREN’S HOSPITAL,TREATMENT,第三十七頁,共四十四頁。,IRON THERAPY RESPONSE〔from Nelson〕,HEMATOLOGY/ONCOLOGY, CHILDREN’S HOSPITAL,第三十八頁,共四十四頁。,TREATMENT,Transfusion Indications Severe anemia Infection Preoperation Component: red blood cells Volume:Hb 30g/L, 35ml/kg Hb 3060g/L, 510ml/kg Attentions,HEMATOLOGY/ONCOLOGY, CHILDREN’S HOSPITAL,第三十九頁,共四十四頁。,PREVENTION,Education For pregnant women For interm Breast milk/cow’s milk Iron rich supplementary food Ironfortified food For premature infant,HEMATOLOGY/ONCOLOGY, CHILDREN’S HOSPITAL,第四十頁,共四十四頁。,HEMATOLOGY/ONCOLOGY, CHILDREN’S HOSPITAL,Review these contents after class, try to make the summary on: The characteristics of iron metabolism in fetus and infants The etiology of IDA Laboratory findings according to the stages Differentials: esp with thalassemia Important treatment,第四十一頁,共四十四頁。,Factors influencing iron absorption Positive factors Ascorbic acid/ gastric acid/amino acid Negative factors Phosphate/phytate/ Tea / coffee,IRON METABOLISM,HEMATOLOGY/ONCOLOGY, CHILDREN’S HOSPITAL,第四十二頁,共四十四頁。,IRON METABOLISM,Concepts SI serum iron TIBC total iron binding capacity TS transferrin saturation,HEMATOLOGY/ONCOLOGY, CHILDREN’S HOSPITAL,第四十三頁,共四十四頁。,內(nèi)容(n232。ir243。ng)總結(jié),NUTRITIONAL IRON DEFICIENCY ANEMIA。Breast/cow’s milk 50%/10%。TIBC: 62.7umol/L (350ug/dl)。Elemental iron: 46mg/kg/d。40mg/kg/d。Volume:Hb 30g/L, 35ml/kg。Hb 3060g/L, 510ml/kg。Phosphate/phytate/,第四十四頁,共四十四頁。