p********g
发帖数: 372 | |
s******t
发帖数: 579 | 2 This pt may be suffering from DT, hypoglycemia and megalocytic anemia...this
question seems focus on hematology. I don't think he got cirrhosis, so I won't choose B. I would choose E because of alcohol's suppressive effects on bone marrow.
Waiting for a better answer. |
t******9
发帖数: 270 | 3 我随便说说。如果说就是酒精成瘾脑病产生幻觉，然后检查发现贫血、血小板低，叶酸
缺乏引起，是否就选择E,叶酸缺乏所以骨髓造血受到抑制？我知道这个说法也不准确。
一般缺铁是骨髓细胞增殖受抑制。缺叶酸是骨髓细胞不能成熟。不知道能否笼统算作骨
髓的产生受到抑制。其他选项除了药物副作用不知道指什么，也不象。 |
s******t
发帖数: 579 | 4 Alcohol can directly and indirectly suppress bone marrow. |
d********9
发帖数: 16 | 5 could be B or E, but more likely E, because of his drinking binge which
could be directly toxic to bone marrow and all his 3 cell lines are low.
However low Hb could be due to macrocytic anemia. |
p********g
发帖数: 372 | 6 谢谢，我就是不明白这药物副作用指什么，现在大家解释了清楚多了。这个题答案就是
E.另外，他白系好像影响不大呀。 |
l**********e
发帖数: 382 | 7 DT usually happen 2-3 days after restricting from alcohol whcih explains his
neurological symptoms. His hemotological test shows macrocytic anemia and
follic acid deficiency is very common among alcoholics. |
