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First, the medical history and symptoms history questions: Note eating habits, whether there is a partial eclipse, or pica. Is there digestive system diseases (atrophic gastritis, gastric ulcer or duodenal ulcer, etc.), hookworm; women have menorrhagia; if done gastrointestinal surgery. Men and postmenopausal women should consider whether the first symptom of gastrointestinal cancer. clinical symptoms 1) poor
Iron deficiency anemia chicken soup will help the performance of the treatment of blood: dizziness, headache, pale, weak, easily tired, heart palpitations, shortness of breath after the event, vertigo and tinnitus. Severity of symptoms and anemia. 2) To organize the performance of iron deficiency: children, youth developmental delay, physical decline, low IQ, easily excited, inability to concentrate, restlessness, irritability or apathy, pica and dysphagia (Plummer-Vinson syndrome). (Very important term to explain). 3) the spirit of children may have nervous system abnormalities. Second, the physical appearance of anemia found that in addition, there are dry and wrinkled skin, dry hair easy to fall off. Thin nails flat and not smooth and easy to fragmentation, and even showed a spoon-shaped A (found in long-term severe patients). Third, the secondary inspection (1)
Improve blood iron deficiency anemia: a typical small cell showed hypochromic anemia, reticulocyte most of the normal or mildly increased, normal or slightly reduced white blood cell count, p


latelet count than others. (2) bone marrow: hyperplasia showed increased activity in the late erythroblast. Granulocyte and megakaryocyte system, the system often normal. Mitotic cells in common. Bone marrow smears stained for iron, sideroblastic little or disappear, extracellular iron is also missing. (3) reduce the biochemical serum iron, total iron binding capacity increased, transferrin saturation decreased to serum iron and total iron binding capacity changed significantly, serum ferritin, total iron binding capacity, said the increase of the synthesis of hemoglobin disorders , iron deficiency or iron by obstacles, FEP will be increased. IV diagnosis of iron deficiency anemia in the clinical stage of iron deficiency anemia will be divided into the following three stages 1) iron deficiency,
Improve iron deficiency anemia or iron deficiency, said of the potential. Only the consumption of body storage iron, serum ferritin 110g / L) V, the differential diagnosis of thalassemia: a family history blood film shows a large number of target-shaped red blood cells, hemoglobin A2 increase in serum ferritin and iron staining of bone marrow can be increased. Anemia of chronic inflammation: total iron binding capacity normal or reduced serum ferritin increased. Sideroblastic anemia: visible ring sideroblasts, increased serum iron and ferritin, total iron binding capacity is not low. 1. Remove the cause: to identify possible causes and treatment for the cause. Such as: treatment of ulcer bleeding, menorrhagia and other women. 2. Oral iron: ferrous sulfate, is effective and economical. Usage: 0.3,3 times / d, with meals taken at the same time, such as gastrointestinal symptoms, may be given 0.1 per day, and then gradually increase the dose, gastrointestinal symptoms will be significantly reduced. Fumarate Iron: 0.2, oral, 3 times / d; Fu trusted by: 1 tablet, 1 time / d; Speed Force Philippines: 0.1, orally, 2 times / d, and so on. 3. Injection of iron: The following patient treatment may be given injections of iron: (1) can not tolerate oral iron; (2) excessive blood loss, with the oral iron can not be compensated; (3) the limitations of ulcerative colitis or colitis patients who were Oral iron treatment is invalid; (4) can not absorb iron from the gastrointestinal tract who, such as gastrointestinal surgery patients. Usage: storage of iron to correct anemia and to restore the total dose of the formula: iron content (mg) = 15 - the patient's hemoglobin (g / dl) body weight (kg) 3. Intravenous administration should be sensitive to the former test. Iron dextran: 100mg, 1 times / d, deep intramuscular injection (the first dose of 50mg, observe whether the allergic reaction.) Or iron dextran: 500mg, 1 times / d, no dilution was injected intravenously within 5 minutes; or a single dose of intravenous iron calculated the amount of time input, application of saline infusion diluted by 1:20, the beginning of 20 drops per minute to observe the After 5 minutes without side effects, dropping speed increased to 40 to 60 drops per minute. Larger reaction intravenous administration, clinical has been rarely used. In general, changes in the gastrointestinal tract is easy for the ionic state of iron easily absorbed, ferrous iron easily absorbed than ferric iron, and phytate and phosphate can reduce iron absorption, ascorbic acid and meat can increase the iron absorption. Good of iron for the animal liver, egg yolk, beans, lean meat and some vegetables. * (Should not have high blood pressure should be less consumption of liver and egg yolk, etc.) There is a cook with a wok and not iron. Iron deficiency anemia people should drink less milk, the milk will prevent the absorption of iron; eat more vitamin c thing. When the number of red blood cells or red blood protein content is lower than normal levels for anemia. The number of normal red blood cells, male 400 million to 500 million / cubic mm, female 350 million to 4.5 million / cubic millimeter; normal concentration of hemoglobin in the blood, men 12 to 15 grams / 100 ml for women 10.5 ~ 13.5 g / 100 ml. Anemia is a common syndrome. There are many factors that can lead to anemia, but sum up the causes of anemia can be divided into three areas, one blood shortage of raw materials, and second, reduce the body's hematopoietic function (ie, reduction of bone marrow hematopoietic function), three had received a red blood cell much damage or loss. Anemia can be classified into several types, such as iron deficiency anemia, megaloblastic anemia, aplastic anemia, hemolytic anemia. Iron deficiency anemia is used to make hemoglobin, the body iron storage has been exhausted, erythropoietin disorder caused by anemia, characterized by bone marrow, liver, spleen and other tissues lack of staining iron, serum ferritin concentration decreased, the serum iron concentration and serum transferrin saturation always make reduced. As small cells hypochromic anemia. Sixth, the cause of iron deficiency anemia can occur in several situations; an iron intake requirements increase rapidly in the growth of infants, children, excessive menstruation, pregnancy or breast-feeding women need iron volume increased, if the diet lacks iron is prone to cause anemia. Second, poor absorption of iron malabsorption due to iron deficiency anemia occurs relatively rare. Third, blood loss, blood loss, especially chronic blood loss, iron deficiency anemia is the most common and most important reason. Gastrointestinal bleeding, such as ulcer disease, cancer, hookworm, esophageal variceal bleeding, bleeding hemorrhoids, after taking salicylates can cause gastric inflammation and other diseases of chronic bleeding, women with menorrhagia and hemolytic anemia with hemosiderosis such as urine or hemoglobinuria flavin can be caused by iron deficiency anemia. Iron deficiency anemia is a long time evolving. Iron depletion of the storage iron depletion, serum ferritin reduction, this time there is no anemia, if the iron deficiency further. Storage iron depletion, serum ferritin and decreased serum iron, total iron binding capacity increased, iron deficiency anemia occurs. Clinical manifestations of the symptoms of the disease clinical manifestations of primary disease ; itself is the cause of the symptoms of anemia; As a result of iron reduction activity in tissues and organs caused by disordered breathing symptoms. First, the symptoms caused by damage to epithelial tissue: Cells containing iron enzyme reduction is mainly due to epithelial changes. (1), angular stomatitis and glossitis: about 10-70% of patients had angular stomatitis, smooth tongue and papillary atrophy of tongue, especially the elderly obvious. (2) esophageal webbing. (3) atrophic gastritis and achlorhydria. (4) skin and nail changes: dry skin, hyperkeratosis and atrophy, hair, easy to break and fall off; nail not only the whole, flat A, anti-A and gray armor. Second, the nervous system symptoms: about 15-30% of patients showed neuropathic pain (mainly headache), paresthesia, severe cases may have increased intracranial pressure and papilledema. 5-50% of patients with mental, behavioral abnormalities, such as lack of concentration, irritability, mental retardation, and pica. The reason is iron deficiency not only affects the oxidative metabolism of brain tissue and nerve conduction, can also lead to acts of mitochondrial single-acid oxidase activity was reduced. Third, the splenomegaly: its causes and shortened red cell lifespan. VII, check one blood: early or mild iron deficiency anemia can not or only very mild anemia. Advanced or severe iron deficiency are typical of small cell type hypochromic anemia. Red Fine
Status of cellular iron deficiency anemia hematocrit and hemoglobin concentration decreased the extent of reduction by the extent of red blood cell count. Second, the bone marrow: bone marrow hyperplasia, reducing the proportion of grains of red, red blood cell proliferation was active in the system. Increase in the proportion of immature red blood cells, the volume of the immature red blood cells than smaller, jagged, little cytoplasm, staining blue side, nuclear condensation may later immature red blood cells, showed that the nuclear cytoplasm retardation, myeloid cells and megakaryocytes number and morphology were normal. Third, bone marrow iron stain. Fourth, serum ferritin. Fifth, the serum iron. Sixth, free erythrocyte protoporphyrin (FEP) Determination: FEP increased hemoglobin synthesis that there is an obstacle, with the existence of which reflects iron deficiency is a more sensitive method. But in the case of non-iron deficiency, such as lead poisoning and sideroblastic anemia, FEP will be increased. Should be combined with clinical and other biochemical considerations. Seven, red blood cell ferritin determination: radioimmunoassay or ELISA can determine the basic RBC ferritin reflects body iron storage conditions, such as <6.5 g / red blood cells, indicating iron deficiency. This result is parallel with the serum ferritin Shiraai by inflammation, cancer and liver disease is the advantage of less impact. But the operation is more complex, yet not as a routine use. Eight, the treatment principles of treatment of iron deficiency anemia are: cause of treatment: to remove as much as possible cause of iron deficiency and anemia; sufficient amount of iron supplement for the body's synthesis of hemoglobin, additional storage capacity of iron in the body to normal levels. First, the cause of treatment: cause the effect of treatment on the correction of anemia, speed and prevent its recurrence are important. Second, the iron treatment: (a) oral iron: The most commonly used agents for the ferrous sulfate, iron fumarate (Fu blood acid). Avoid when taking tea, to prevent precipitation of iron which can not be absorbed by tannic acid. Edge of iron tablets manufactured using a variety of traditional recipes of the human gastrointestinal tract without stimulating effect, the proposed use. (B) injection of iron: oral treatment with the general as possible, only apply in the following circumstances iron injection: intestinal iron absorption, such as gastrointestinal anastomosis after gastric resection or chronic diarrhea, steatorrhea, etc. ; gastrointestinal disease may be due to increased symptoms after oral iron, such as peptic ulcer, ulcerative colitis, segmental colitis, stomach disorders and gastrointestinal function after resection of continuous vomiting during pregnancy; Although oral iron The reductions are still severe gastrointestinal reactions. Have used injections of iron sorbitol, iron dextran and ferric citrate. (C) Auxiliary treatment: better nutrition, increased iron-rich foods. Anemia and general performance of the pale complexion, pale nails, shortness of breath, fatigue, heart palpitations, hair brown, dizziness, menstrual less pale and so on. Anemia should pay attention to eat diet rich in protein, vitamin B and vitamin C, iron-rich food and diet. Beneficial fruits are apple, jujube, litchi, bananas and so on. It should also eat more black fungus, mushrooms, black beans, sesame and other food, health benefit supplement blood. (D) traditional Chinese medicine: containing alum (ferrous sulfate) is the most symptomatic of traditional Chinese medicine preparations, such as films and other benefits in the Blood. Body storage iron deficiency anemia is iron deficiency, anemia of hemoglobin synthesis, system performance of the late iron deficiency. The disease is the most common type of anemia, the prevalence in the world, occurred in all age groups, especially common in women of childbearing age and infants. Especially prevalent hookworm endemic areas, the degree of heavy. The diagnostic criteria were: hypochromic anemia of small cells, mean corpuscular hemoglobin concentration (MCHC) is less than 32%, mean corpuscular volume (MCV) less than 80fl (Um3), mean corpuscular hemoglobin (MCH) is less than 27 pg (pg). a clear cause of iron deficiency, such as insufficient supply of iron, malabsorption, or chronic blood loss, etc. need to increase. serum (plasma) iron less than 10.7 micro mol / L (Umol / L). total iron binding capacity is greater than 62.7 micro mol / L (Umol / L), transferrin saturation of less than 15% of reference value, less than 10% of the exact meaning. bone marrow cells significantly reduced or disappeared outside the iron (0 - X), sideroblastic red blood cells less than 15%. free erythrocyte protoporph 500 g / liter (Ug / L). serum ferritin less than 16 micrograms / liter (Ug / L). iron treatment is effective after 6 weeks of treatment with iron, hemoglobin increased by 10 g / l (10g / L) or more. Consistent with a and above at least two persons, can be diagnosed as iron deficiency anemia. Magic soup song analytic treatment of iron deficiency anemia iron deficiency anemia can be prevented most of the people prone to this type of anemia should be seriously carried out hygiene education and preventive measures, such as: to improve infant feeding method, in a timely manner to increase appropriate complementary food; actively implementing family planning, too much too dense to prevent births; late gestation and lactation periods in the daily oral ferrous sulfate can be 0.2 or 0.3g; In hookworm endemic areas for large-scale parasitic diseases prevention and control; the timely processing of chronic hemorrhage. Iron deficiency anemia is when the body's iron storage can not meet due to the needs generated by the normal red blood cell anemia. Is the most common clinical anemia, particularly prevalent in women of reproductive age and infants. Clinical symptoms include anemia symptoms (such as dizziness, weakness, after the event palpitations, shortness of breath and tinnitus, anorexia, etc.), iron deficiency symptoms (such as the children are stunted, lack of concentration, poor academic performance and pica addiction, etc.) and underlying diseases causing the symptoms of iron deficiency. We all know that the blood iron juice. The reason for human blood has rust, iron juice Rufu, and belly oxygen compounds, Serve rust. The juice of a lack of iron in the blood. Huang Si Wu Tang in the cool, more liquid the color black, but also contains iron, which can be really big Zi Yin, the more of a good lead-fire floating downstream, is also clear heat on the anxiety, the heart often have sex fluid of Feng Jun , to benefit the Blood of holy power. Angelica color red as blood, are like the sticky juice, blood, and there is smell of fish. "The Classic", especially good for the Zhuzhi drink, is similar to taking the juice and blood to blood shortage points also. Chuanxiong gas smell, can go clear; Weixin, can reduce turbidity. So on to the head, down to the sea of blood, adjusting blood, though not the products of Blood to Blood products are also assisted. Paeonia Pickle and bitter, sour to grabbing anger, bitterness Xie Xin heat, can be nursed back to health Muhuo the real dirty, so not to help solve the flaming, and its sticky juice pulp, but Yin of the goods, which can be nourishing yin . Angelica, Chuanxiong temperature; to yellow, peony cool. Cool and blended, of such peace. Huang, peony nourishing points, angelica, Chuanxiong qi points, qi and blood management, people without disease. Pregnant women, the treatment of late iron deficiency anemia dietary 1 For the first strengthen the anemic mothers, first of all to strengthen the food nutrition, eat more animal liver, animal blood, dark green vegetables, iron-rich foods. However,
Improve iron deficiency anemia in pregnant women with advanced anemia diet therapy alone is not enough, because the dietary iron-containing foods, especially plant foods, low rate of iron absorption, so rely on dietary supplements, pregnant women, the situation of late anemia can not be completely improvement, then the need to supplement iron drugs. Drugs added a simple if-small cell iron deficiency anemia, iron preparations and vitamin C can be treated, preferably of ferrous iron, ferrous iron than ferric iron more easily absorbed. Stimulation of the oral iron on the gastrointestinal relatively large, so it is best taken between meals or after meals, such as large-cell anemia, then the addition to iron, but also folic acid and vitamin B12. Second, due to nutritional folic acid deficiency megaloblastic anemia need to add folic acid and vitamin C, folic acid, vitamin C can promote the use and improve efficacy. Vitamin B12 deficiency leads to the nutritional megaloblastic anemia, to add vitamin B12. Against pregnant women of advanced maternal anemia severe late anemia hemoglobin to carry oxygen due to lack of Erzhi fetal hypoxia, caused by intrauterine growth retardation, production, or even stillbirth. Therefore, pregnant women, anemia is not a small problem, do not be ignored. TCM therapeutic side weakness of clinical manifestations of temper, pale complexion or pale, Shenpi fatigue, less satisfied pond, pink tongue, thin greasy tongue coating, thy pulse. Therapeutic Diet 1. Seaweed fried pig: pig Inker, seaweed 300 grams (soaked good), the same into the wok fry to eat. 2. Astragalus Chicken soup: 30 grams of astragalus, hen 1 (1000 grams), 100 grams of rice, the hen slaughter and offal to the hair (cut), and astragalus into the pot boil into a soup, with this soup and rice porridge, seasoning food. 3. Red Ginseng round portion of congee: 10 grams of red ginseng (sliced), round meat 15 grams, 100 grams of rice, eaten with the porridge. 4, pig's blood soup Recipe Spinach fresh spinach 500 grams, 250 grams of pig blood, salt, MSG amount. Method: Wash the spinach, boiled look, cut into sections. Pig blood washed, cut into small pieces into the pot before adding water to boil in wok, then add soup with spinach, cooked according to individual taste seasoning. Daily or every other day, and even clothes 2-3 times. Effectiveness of cheap pig blood, per 100 grams up to 45 mg of iron, called "the nourishing of the King." Chinese medicine, sexual Ganliang spinach, can be nourishing, bleeding, grabbing yin, moistening. So this soup has a nourishing effect of iron supplementation. Clinical manifestations of deficiency of both qi and blood, pale, fatigue, weakness, dizziness, palpitations, less gas lazy words, the tongue is pale and thin white fur, pulse moisten fine. Therapeutic Diet 1. Fried liver wolfberry Angelica: Angelica 15 grams, 15 grams of wolfberry, 60 grams of liver, soup seasoning take. 2. Meat big black circle KM: black beans 50 grams, 20 grams of meat round, jujube 50 grams, water to cook cooked serving. 3. Fungus broth date: 10 grams of black fungus, jujube 15, 60 grams of lean pork, a total of soup consumption. 2 times a day. 4. Ejiao Prescription Ejiao dates fungus 15 grams porridge, jujube 10, 10 grams of black fungus, glutinous rice 100g. Method: gelatin broken back. Black fungus warm water hair wash. Jujube to go nuclear. The black fungus, date and glutinous rice porridge would be cooked, add gelatin, stirring of the can. Daily breakfast and dinner warm take. Qi tonic effect of black fungus, black fungus per one hundred grams in a 98 mg iron, iron content of various foods highest. Ejiao can promote bone marrow function, significantly improved red blood cells and hemoglobin content; dates nourishing qi. This porridge Qi tonic for blood deficiency and iron deficiency anemia dizziness embolism. 5,2, celery and liver Recipe: liver, 200 grams, 300 grams of celery, 25 grams of soy sauce, sugar, salt amount. Method: 1. The liver to the fascia, cut into thin slices, add salt, stir and set aside. 2. Wash celery, cut into sections. 3. The pan till the Liucheng oil, into liver, to be color, pour in a colander and drain. 4. Pot to stay a little oil, stir fry celery into, to be cooked before adding soy sauce, sugar, salt, and then poured into the liver, stir a few times, once the pan. Effectiveness of liver iron hectogram 25 mg, 8.2 mg of iron hectogram celery. This recipe is rich in iron and folic acid, anemia tendency for women and infants and young children is a daily tonic of the best. Although the daily dietary iron and iron the family can be found in many foods, but compared to the iron contained in meat more easily than other food absorbed by the body. Iron-rich foods include: 1, 2, red meat, poultry, 3, 4 tuna, salmon, 5, 6 eggs, tofu, 7, 8, dry beans, leaf vegetables, 9, 10 molasses, oatmeal for breakfast to enhance iron . 11. Liver 12. Black fungus you can choose some low-sugar whole grain oats, try to avoid sugary oats. Prone to iron deficiency anemia in pregnant women, pregnant women significantly increased the demand for iron, fetal growth and development needs of about 350 mg of iron, the increase in maternal blood volume of about 650 mg of iron require deduction of the whole process of pregnancy, no menstrual blood loss, some accumulation of iron 200 mg, 800 mg of iron it needs during pregnancy. Daily diet of 10 to 15 mg of iron, its absorption and utilization of only 10% to 1 to 1.5 mg at a time when pregnant women need at least 4 mg of iron per day. To the latter half of pregnancy, iron absorption rate of up to 40% of the maximum, still can not meet the requirements. Therefore, if not get enough iron during pregnancy, pregnant women prone to iron deficiency anemia. Infant iron deficiency anemia treatment and medication guides for 2 iron deficiency anemia (also known as nutritional anemia) is a common disease of infants and young children, it is necessary due to lack of iron in the blood caused. According to the survey, infants and children under 6 years of age the incidence of anemia in 20% to 40%. Infants under 6 years of age (excluding infants) and hemoglobin below 110 g / l, can be diagnosed as iron deficiency anemia. Iron deficiency anemia caused by main reasons: fast growth and development of infants and young children, iron requirements increase, especially in premature children. dietary iron deficiency. Baby 3 to 4 months after the exhaustion of the iron from the mother, and dairy based diet rarely iron, can not meet its growth needs. excessive loss of iron, such as anal fissure, intestinal polyps, caused by a small amount of hookworm and other chronic blood loss. Others such as diarrhea, acute and chronic infections. Symptoms of anemia usually presents in children: pale skin, mucous membranes, to the lips, nail beds and the most significant oral mucosa; flat susceptible fatigue, lack of exercise; have anorexia, pica and even addiction (like to eat dirt, walls, gray, etc.). Severe anemia may occur in liver, spleen, lymph nodes, enlarged heart and so on. Before in children with anemia and, more irritability, hyperactivity, and inattention, unresponsive, poor memory, low performance IQ, but the performance of the parents often failed to arouse the attention and the attention. When the hemoglobin in the 100 ~ 110 g / l can be among the dietary treatment, which usually eat more iron-rich foods and high rate of iron absorption, such as animal liver, lean pork, such as soybeans and soy products. Liver iron per 100 grams of 25 mg, the absorption rate can reach 22%; red meat such as lean pork, lean beef, 100 grams each, respectively in the iron content of 2.4 mg and 3.2 mg , absorption rate can reach 22%; animal blood, per 100 grams in 3 to 4 mg of iron, the absorption rate was 12%. In addition, soybeans and soy products are not iron content is low, the iron per 100 grams of soy 11 mg, the absorption rate of 7%, usually should eat it often. Of particular note is that while higher iron content of egg yolk, but the absorption rate of 3%, so usually eat egg yolks, not the prevention and treatment of iron deficiency anemia the best food. When the hemoglobin in the 100 ~ 110 g / l or less, you need to use iron treatment, commonly used ferrous sulfate and fumarate iron. Iron would stimulate the gastrointestinal mucosa and cause nausea, vomiting, diarrhea and other adverse reactions that can lead to patients can not tolerate the half-way stop treatment, anemia is not corrected. In recent years, animal studies suggest that, every 3 days or 2 days a week service iron deficiency anemia, iron has the same effect every service. The clinical application of the results also confirmed after the above results, and fewer side effects, to adhere to therapy, hemoglobin rose to 100 grams / liter or more. Infant clothes every 3 days or 2 days per week dose iron therapy, elemental iron per kilogram of body weight should be 4 to 6 milligrams (the amount of the general treatment of the same) standards. Specifically, the dose of ferrous sulfate clothing, infant day 0.15 ~ 0.30 g, child day 0.30 ~ 0.60 g; service dose of ferrous succinate, infants and young children every day 0.15 ~ 0.30 g, child day 0.20 ~ 0.40 g; service dose of ferrous gluconate, infants and young children every day 0.30 ~ 0.50 g, child day 0.60 ~ 1.20 grams. Iron clothes while taking vitamin C, can promote the absorption of iron, but should avoid milk, tea, coffee, while taking to affect iron absorption. After treatment of approximately 4 to 6 weeks, hemoglobin to normal after the need to continue to take 4 to 6 weeks, part of the iron stored in the body in order to prevent infection or disease affecting gastrointestinal absorption of iron, causing anemia again. How to prevent iron-deficiency anemia iron deficiency generally poor treatment using traditional Chinese medicine under the well when the patient Hb less than 60g / L, and has continued to hemorrhage alone ineffective traditional Chinese medicine with western medicine could be considered available when the muscles need to iron therapy injection of iron (a) of the oral iron oral ferrous sulfate for iron deficiency and iron deficiency anemia in hemoglobin synthesis of red blood cells to reduce protoporphyrin 500 g / L (normal 200 ~ 400 g / L) Fu Iron Horse acid 0.2 g / time 3 times / day higher iron content of ferric ammonium citrate worked faster often dubbed Oral Soluti0% 10ml / time 3 times / day for the absorption of ferric iron but can not easily replace the tablet force enjoys for ligand complexes of iron force of the Philippines to speed ferrous succinate 2. injectable iron have gastrointestinal disease or urgent need to increase rail use by providers of iron sorbitol iron dextran: intramuscular injection of local pain systemic reactions with iron dextran more detailed 3


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