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患者,男,40岁,嗜酒。检查:Hb60g/L,MCV63fl,血清铁蛋白8μg/L,口服铁剂治疗1个月无效,下一步采取哪种措施最重要()

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RBC4.0×1012/L,Hb75g/L,MCV63fl,MCH22pg,MCHC0.25,网织红细胞0.01  RBC2.3×1012/L,Hb85g/L,MCV94fl,MCH35pg,MCHC0.35,网织红细胞0.015  RBC2.0×1012/L,Hb60g/L,MCV84fl,MCH30pg,MCHC0.33,网织红细胞0.005  RBC4.5×1012/L,Hb115g/L,MCV83fl,MCH31pg,MCHC0.34,网织红细胞0.015  RBC2.2×1012/L,Hb63g/L,MCV81fl,MCH32pg,MCHC0.33,网织红细胞0.009  
RBC4.0×1012/L,Hb75g/L,MCV63fl,MCH22pg,MCHC0.25,网织红细胞0.010  RBC2.3×1012/L,Hb85g/L,MCV94fl,MCH35pg,MCHC0.35,网织红细胞0.015  RBC2.0×1012/L,Hb60g/L,MCV84fl,MCH30pg,MCHC0.33,网织红细胞0.003  RBC4.5×1012/L,Hb115g/L,MCV83fl,MCH31pg,MCHC0.34,网织红细胞0.015  RBC2.2×1012/L,Hb63g/L,MCV81fl,MCH32pg,MCHC0.33,网织红细胞0.09  
RBC 4.0x10/L,Hb 75g/L,MCV 63fl,MCH 22pg,MCHC 0.25,网织红细胞0.010  RBC 2.3x10/L,Hb 85g/L,MCV 94fl,MCH 35pg,MCHC 0.35,网织红细胞0.015  RBC 2.0x10/L,Hb 60g/L,MCV 84fl,MCH 30pg,MCHC 0.33,网织红细胞0.003  RBC 4.5x10/L,Hb 115g/L,MCV 83fl,MCH 31pg,MCHC 0.34,网织红细胞0.015  RBC 2.2x10/L,Hb 63g/L,MCV 81fl,MCH 32pg,MCHC 0.33,网织红细胞0.09  
RBC4.0×1012/L,Hb75g/L,MCV63fl,MCH22pg,MCHC0.25,网织红细胞0.010  RBC2.3×1012/L,Hb85g/L,MCV94fl,MCH35pg,MCHC0.35,网织红细胞0.015  RBC2.0×1012/L,Hb60g/L,MCV84fl,MCH30pg,MCHC0.33,网织红细胞0.003  RBC4.5×1012/L,Hb115g/L,MCV83fl,MCH31pg,MCHC0.34,网织红细胞0.015  RBC2.2×1012/L,Hb63g/L,MCV81fl,MCH32pg,MCHC0.33,网织红细胞0.09  
加大铁剂用量  胃肠道检查进一步查找病因  戒酒  加服止血药  改用注射铁剂  
RBC4.0×1012/L,Hb75g/L,MCV63fl,MCH22pg,MCHC0.25,网织红细胞0.010  RBC2.3×1012/L,Hb85g/L,MCV94fl,MCH35pg,MCHC0.35,网织红细胞0.015  RBC2.0×1012/L,Hb60g/L,MCV84fl,MCH30pg,MCHC0.33,网织红细胞0.003  RBC4.5×1012/L,Hb115g/L,MCV83fl,MCH31pg,MCHC0.34,网织红细胞0.015  RBC2.2×1012/L,Hb63g/L,MCV81fl,MCH32pg,MCHC0.33,网织红细胞0.09  
RBC 4.0x10/L,Hb 75g/L,MCV 63fl,MCH 22pg,MCHC 0.25,网织红细胞0.010  RBC 2.3x10/L,Hb 85g/L,MCV 94fl,MCH 35pg,MCHC 0.35,网织红细胞0.015  RBC 2.0x10/L,Hb 60g/L,MCV 84fl,MCH 30pg,MCHC 0.33,网织红细胞0.003  RBC 4.5x10/L,Hb 115g/L,MCV 83fl,MCH 31pg,MCHC 0.34,网织红细胞0.015  RBC 2.2x10/L,Hb 63g/L,MCV 81fl,MCH 32pg,MCHC 0.33,网织红细胞0.09  
RBC4.0×1012/L,Hb75g/L,MCV63fl,MCH22pg,MCHC0.25,网织红细胞0.01  RBC2.3×1012/L,Hb85g/L,MCV94fl,MCH35pg,MCHC0.35,网织红细胞0.015  RBC2.0×1012/L,Hb60g/L,MCV84fl,MCH30pg,MCHC0.33,网织红细胞0.005  RBC4.5×1012/L,Hb115g/L,MCV83fl,MCH31pg,MCHC0.34,网织红细胞0.015  RBC2.2×1012/L,Hb63g/L,MCV81fl,MCH32pg,MCHC0.33,网织红细胞0.009  
RBC4.0×1012/L,Hb75g/L,MCV63fl,MCH22pg,MCHC0.25,网织红细胞0.010  RBC2.3×1012/L,Hb85g/L,MCV94fl,MCH35pg,MCHC0.35,网织红细胞0.015  RBC2.0×1012/L,Hb60g/L,MCV84fl,MCH30pg,MCHC0.33,网织红细胞0.003  RBC4.5×1012/L,Hb115g/L,MCV83fl,MCH31pg,MCHC0.34,网织红细胞0.015  RBC2.2×1012/L,Hb63g/L,MCV81fl,MCH32pg,MCHC0.33,网织红细胞0.09  
RBC4.0×1012/L,Hb75g/L,MCV63fl,MCH22pg,MCHC0.25,网织红细胞0.010  RBC2.3×1012/L,Hb85g/L,MCV94fl,MCH35pg,MCHC0.35,网织红细胞0.015  RBC2.0×1012/L,Hb60g/L,MCV84fl,MCH30pg,MCHC0.33,网织红细胞0.003  RBC4.5×1012/L,Hb115g/L,MCV83fl,MCH31pg,MCHC0.34,网织红细胞0.015  RBC2.2×1012/L,Hb63g/L,MCV81fl,MCH32pg,MCHC0.33,网织红细胞0.09  
正细胞性贫血  小细胞均一性贫血  小细胞不均一性贫血  大细胞均一性贫血  大细胞不均一性贫血  
RBC4.0×1012/L,Hb75g/L,MCV63fl,MCH22pg,MCHC0.25,网织红细胞0.01  RBC2.3×1012/L,Hb85g/L,MCV94fl,MCH35pg,MCHC0.35,网织红细胞0.015  RBC2.0×1012/L,Hb60g/L,MCV84fl,MCH30pg,MCHC0.33,网织红细胞0.005  RBC4.5×1012/L,Hb115g/L,MCV83fl,MCH31pg,MCHC0.34,网织红细胞0.015  RBC2.2×1012/L,Hb63g/L,MCV81fl,MCH32pg,MCHC0.33,网织红细胞0.009  
戒酒  改用注射铁剂  加大铁剂用量  补充叶酸  行胃肠道进一步检查  
加大铁剂用量  胃肠道检查进一步查找病因  戒酒  加服止血药  改用注射铁剂  
RBC4.0×1012/L,Hb75g/L,MCV63fl,MCH22pg,MCHC0.25,网织红细胞0.010  RBC2.3×1012/L,Hb85g/L,MCV94fl,MCH35pg,MCHC0.35,网织红细胞0.015  RBC2.0×1012/L,Hb60g/L,MCV84fl,MCH30pg,MCHC0.33,网织红细胞0.003  RBC4.5×1012/L,Hb115g/L,MCV83fl,MCH31pg,MCHC0.34,网织红细胞0.015  RBC2.2×1012/L,Hb63g/L,MCV81fl,MCH32pg,MCHC0.33,网织红细胞0.09  
RBC4.0×1012/L,Hb75g/L,MCV63fl,MCH22pg,MCHC0.25,网织红细胞0.010  RBC2.3×1012/L,Hb85g/L,MCV94fl,MCH35pg,MCHC0.35,网织红细胞0.015  RBC2.0×1012/L,Hb60g/L,MCV84fl,MCH30pg,MCHC0.33,网织红细胞0.003  RBC4.5×1012/L,Hb115g/L,MCV83fl,MCH31pg,MCHC0.34,网织红细胞0.015  RBC2.2×1012/L,Hb63g/L,MCV81fl,MCH32pg,MCHC0.33,网织红细胞0.09  
RBC4.0×1012/L,Hb75g/L,MCV63fl,MCH22pg,MCHC0.25,网织红细胞0.01  RBC2.3×1012/L,Hb85g/L,MCV94fl,MCH35pg,MCHC0.35,网织红细胞0.015  RBC2.0×1012/L,Hb60g/L,MCV84fl,MCH30pg,MCHC0.33,网织红细胞0.005  RBC4.5×1012/L,Hb115g/L,MCV83fl,MCH31pg,MCHC0.34,网织红细胞0.015  RBC2.2×1012/L,Hb63g/L,MCV81fl,MCH32pg,MCHC0.33,网织红细胞0.009  
RBC4.0×1012/L,Hb75g/L,MCV63fl,MCH22pg,MCHC0.25,网织红细胞0.010  RBC2.3×1012/L,Hb85g/L,MCV94fl,MCH35pg,MCHC0.35,网织红细胞0.015  RBC2.0×1012/L,Hb60g/L,MCV84fl,MCH30pg,MCHC0.33,网织红细胞0.003  RBC4.5×1012/L,Hb115g/L,MCV83fl,MCH31pg,MCHC0.34,网织红细胞0.015  RBC2.2×1012/L,Hb63g/L,MCV81fl,MCH32pg,MCHC0.33,网织红细胞0.09