作者taro0101 (我想我是)
看板medstudent
标题Re: [申覆] 医学(三) 17
时间Wed Aug 4 23:42:31 2010
虽然我过了，还是来帮忙查一下，查申覆的同学辛苦了!!!加油!!
这题感觉还是可以try try看
Decreased serum vitamin B12 levels can be observed after partial gastrectomy.
This is usually not due to deficiency of IF,
since a minimal amount of parietal cells (source of IF) are removed
during antrectomy. Reduced vitamin B12 "may be" due to competition
for the vitamin by bacterial overgrowth
or inability to split the vitamin from
its protein-bound source due to hypochlorhydria.
from Harrison's Internal Medicine - 17ed
他说有可能因为细菌长太多
但也有可能因为胃酸不足
这样就给anti ??
如果忽略脂肪便 硬要说他是dumping syndrome
(查不到dumping syndrome的stool是不是含脂肪,不过不能吃太油)
那就是先饮食调节啦
建议: 全送分
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1F：推 SkySlaughter:你引了这段反而有种被打枪的感觉... 08/04 23:51