?????Hb?????????????????????? - PowerPoint PPT Presentation

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Title:

?????Hb??????????????????????

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Title: Author: tea Last modified by: tea Created Date: 11/7/2004 12:46:13 AM Document presentation format: – PowerPoint PPT presentation

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Provided by: tea1152
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Tags: g6pd

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Title: ?????Hb??????????????????????


1
??
2
?????
?????
?????Hb??????????????????????
(?lt13g/dl ?lt12g/dl)
3
???????
? ?????? ver. (????) ? ????? ver. (?????) ?
?????????? ver.
4
??????(?????)
????????
??????????????????????????????
?????? ????????
5
?????(??????)
????????
????Mq???
??
?????????
(?????)
??????????(PNH)
??????????????????
????????
G6PD???
????????????????????
PK???
???????????ATP????(???)
6
?????(??????)
????????
??????
??????????????
?????
??????????????????????
7
?????(????????)
?????????????? ?????????? ??????
????? ????????
8
??????(???????)
?????????
???
???????B12???
???Hb??????????B6??????
???????????????
A?????
? ??
B??????
? ???
?????
? ???
C??????
? ??
D?????
9
?????(??????)
?
????
??????
?????? ??????????????

?? ????
?????? ???(??????)???

?????? ??
??????????
????
????
????
??????????? ???
(??)
(???????????????)
10
????????(??????)
Hb??????????B6??????
??????????????
????
dALA
????
??????
???
dALA
??


??????
????
Pyridoxal phosphate

Fe2
?????
??????(????B6)
dALA
????
?????!
??????
? ??????
(????????)
11
??????(??????)
????B12???
???????(VitB12???)?????????????
?DNA????????????????????????????
???????
???? (??????)
????
12
??????(??????)
VitB12?????
B12
B12
(IF???)
????????
???????
IF
???
???B12???
IF
????
IF
???
B12
?
????
???B12
??
IF
B12
B12??????????????????
???
13
?????(???????)
?????????????
??????????????????????
???????????????
???Fanconi??
???
???
90????!
??(?????)
???
???
??????
14
(No Transcript)
15
??????????
  • ??????????
  • ??????????????
  • ????????
  • ???????????
  • ???????????
  • ???
  • ???????????(??)???
  • ???????
  • ?????????????
  • ????????????

16
??????????
  • ???
  • ????????????
  • ???
  • ????????????
  • ??
  • ???????????????

17
?????
  • ???????
  • ?????
  • ????
  • ?????(???????)
  • ???
  • ????????
  • ???????????????
  • ?????????????
  • ????????????
  • ????????????????????

18
?????
  • ??
  • ?????????
  • ??
  • ???????????????
  • ??
  • ?????????
  • ???
  • ????????????????????

19
???????
  • ?????

???????????????? ???????????????
??????????????!
20
???????
  • ????(complete blood cell countCBC)???
  • RBC?Hb???Ht?????(Ret)
  • ????(WBC)?????

21
???????????
22
MCV??????
  • MCVHt()10RBC(1,000,000/µl)
  • ????????????????
  • MCV?80?????
  • 80?MCV?100?????
  • 100?MCV?????

23
  • 1.???
  • ????????
  • ??
  • ???????
  • ????
  • ?????????? ?????
  • ??????
  • ?????????

24
  • 2.???
  • ?????
  • ????
  • ????????????
  • ??? ?????????????????
    ?????????????????
  • ??? ??????????????
  • ?????????
  • ??
  • Coombs??
  • ()??????????
  • (-)??????????
  • ??????????????

25
  • 3.???
  • ????
  • ??????
  • ?????B12????????????? DNA??????????????
    Crohn?????????
  • ??????
  • ?????????????????
  • ???
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