A Case of Severe Anemia Due to Chronic Iron Deficiency with Hemoglobin 1.5 g/dl
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概要
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A 44-year-old female was transferred to our hospital in a semi-comatose state, suffering from shock (Glasgow coma scale E1V2M5, blood pressure 74/34mmHg). The blood examination demonstrated hypoglycemia (25mg/dl) and extremely severe anemia (1.5g/dl). Immediate glucose infusion and a slow transfusion achieved a dramatic improvement in the blood pressure and a clear consciousness, but the heart failure symptoms slightly deteriorated. A further examination of anemia and her history of schizophrenia revealed that her dietary habits and ignorance of her disease had resulted in severe anemia. After an infusion of diuretic and iron, the heart failure and anemia symptoms improved and she was thereafter moved to the psychiatric ward. To the best of our knowledge, this is the first report of an adult patient who survived after presenting with a hemoglobin level below 2g/dl and thereafter survived.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
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