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Title:

????? Hemolytic Anemia

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Title: PowerPoint Presentation Last modified by: LENOVO USER Created Date: 1/1/1601 12:00:00 AM Document presentation format: Other titles – PowerPoint PPT presentation

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Tags: anemia | g6pd | hemolytic

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Title: ????? Hemolytic Anemia


1
?????Hemolytic Anemia
  • ?????
  • ???
  • 2008.10.25

2
??
  • ?????????????????????????
  • ???????68???????
  • ??????,?????????
  • ?????????????(jaundice )

3
????
??????? ????????? ????
  • ???????????
  • ???????????
  • ????????????

????? ?????
4
??????
5
?????????
???gt70 ???lt30 ???
??????
  • ???

???
  • ???????????????????????????

6
???????????
  • ?????
  • ??????????????,?AIHA(autoimmune hemolytic anemia
    )
  • ???????????,?PNH(paroxysmal nocturnal
    hemoglobinuria)
  • ????????????????

7
???????
  • ?????????????????????????????-??????

8
?????
  • ?????,???????
  • ?????????
  • ???????,?DIC?TTP?

9
(No Transcript)
10
?????
  • ?????????????,???????????????????,PNH,???????
  • ???????

11
?????
  • ???-????????????????AIHA,???????????
  • ??-????????????????????????????????
  • ??,???????,???????,??????
  • ????MA?MDS?

12
(No Transcript)
13
(No Transcript)
14
????????????
15
????
  • ?????????
  • ???????????

16
?????????
  • (?)???????????????
  • 1.??????????
  • 2.??????????
  • 3.?????????????
  • (?)???????????
  • 1.G6PD??
  • 2.????????
  • (?)???????????
  • 1.?????????----?????
  • 2.?????????----???????
  • (?)?????????????----PNH

17
???????????
  • ????
  • 1.????????
  • 2.?????????
  • 3.AIHA
  • 4.???????????
  • ???????
  • ?????,??????,???????,????????????
  • ???? ?,???
  • ???? ??,??????

18
????
  • ???????????
  • ????? ????,??????,?????,?????????????????????????
    ????
  • ????? ?????,?????,?????????,????????

19
?????
  • ???????
  • ???????????
  • ????????????????

20
???????
  • ??????
  • 1.??????????,???????????,??????????????---???????
    ?---?????---??????
  • 2.???,?????????
  • ??????
  • 1.?????????????????
  • 2.??????????
  • 3.?????
  • 4.?????? ???????

21
???????????
  • ??????? ??0.050.2
  • ??????????
  • ????????

22
????????????????
  • ????????
  • ??????????????
  • ????
  • ??????????
  • ???????

23
???????
  • ??????????
  • 1.?????????????????????
  • 2.Coomb??----AIHA?????????
  • 3.Coomb??----????????
  • ???????---?????
  • ----??????Hb??---Hb?
  • ---??Hb????---G6PD??
  • 4.?????---?????---PNH

24
??
  • ???? ??????,??????????
  • ????? ???????AIHA?????????1-1.5mg/kg.d,???????,??
    ???3-6??82?????????????,???1316???????????????
  • ?????????????????????,?????????????????????????
    ???????IgG?C3??,???????????????

25
  • ??? ????60 ?????????????,?????
  • ?????
  • ????????????????
  • ???????
  • ?????10mg/d??????????
  • ??????????????????????????????
  • ???????
  • ???? ??????????????????????????,??????,????????

26
?????
  • 1.??????????????
  • 2.???????????????????
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