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一、妊娠与贫血(一)缺铁性贫血治疗以口服铁剂为主,常用硫酸亚铁。口服铁剂需注意:①从小剂量开始,渐达足量:②疗程要足,血红蛋白正常后再服3～6个月;⑧饭后服用;④忌饮茶和咖啡;⑤胃酸缺乏者加服稀盐酸。不能耐受口服或晚孕期可用右旋糖酐铁50～100mg/日,肌注。每300mg 升高血红蛋白1g。一般不需输血。重度贫血或已近分娩期可输浓缩红细胞。贫血严重者输血速度宜慢,必要时加用利尿剂以防心力衰竭。我们在实践中体会到,患本病孕妇半数以上伴有叶酸或维生素
First, pregnancy and anemia (A) treatment of iron deficiency anemia mainly oral iron, commonly used ferrous sulfate. Oral iron should pay attention to: ① from the beginning of the small dose, gradually reaching full amount: ② course of treatment to be sufficient, hemoglobin normal and then served 3 to 6 months; ⑧ after meals; ④ avoid drinking tea and coffee; Dilute hydrochloric acid. Can not tolerate oral or late pregnancy available iron dextran 50 ~ 100mg / day, intramuscular injection. Each 300mg hemoglobin increased 1g. Generally do not need blood transfusion. Severe anemia or may be lost during delivery of condensed red blood cells. Severe anemia, blood transfusion should be slow, if necessary, add diuretics to prevent heart failure. We experience in practice, more than half of pregnant women suffering from this disease associated with folic acid or vitamins