Anemia correction by parenteral iron supply in HD patient |
Dr.¼º¸í |
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º´¿ø¸í/Áø·á°ú¸í |
ÀÎÁ¦ ´ëÇб³ ÇØ¿î´ë ¹éº´¿ø / ½ÅÀå³»°ú |
ȯÀÚ ³ªÀÌ/¼ºº° |
53 / ³²ÀÚ |
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2008³â°æ ´ç´¢ ¹× °íÇ÷¾Ð Áø´Ü ÈÄ Ä¡·áÁß ½Ã·Â °¨Åð·Î 2012³â 1¿ù¾È°ú Áø·á ÈÄ ´ç´¢º´¼º ¸Á¸·Áõ ¹× ½Å±â´É ÀúÇÏ·Î ½ÅÀå³»°ú Ä¡·á Áß ½Å±â´É ¾ÇÈ·Î 21012³â 2¿ùºÎÅÍ Ç÷¾×Åõ¼® ½ÃÀÛÇÔ |
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¼Ò°ß |
Hb 9.3(6.3g/dl¿¡¼ ¼öÇ÷ ÈÄ) Scr 10.39mg/dl Na K 134/5.5mEq/L
Fe 27 TIBC 190 (TS 14%) (2012.2) |
ó¹æ |
Oral iron + erythropoietin 100U/ kg TIW -> Hb |
Rationale |
TS <20%/ ferritin 200< ÀÇ absolute iron deficiency ¿¡ ÇØ´çµÇ¾î
°æ±¸ öºÐ¾àÁ¦ ½ÃÀÛ |
Ä¡·á ÈÄ È¯ÀÚÀÇ º¯ÈµÈ
ÀÓ»óÀû °á°ú |
4ÁÖ ÈÄ Hb 8.9 Fe 38 TIBC 224 (TS 16%) ferritin 181
·Î parenteral iron supply ( venostin 100mg ÁÖ 2ȸ) Åõ¿© ÈÄ
HB 12.4 Fe 51 TIBC 234(TS 21%) |
°æ°úº¸°í |
Ç÷¾×Åõ¼® ȯÀÚ¿¡¼ öºÐ °æ±¸ Åõ¿©ÇÏ¿´À¸³ª TS¹× Hb È£Àü ¾ø¾úÀ¸³ª venostin Åõ¿© ÈÄ TS ¹× Hb »ó½ÂÀ¸·Î ºóÇ÷ È£Àü º¸¿´À½ |