试题与答案

女性,68岁。患萎缩性胃炎及恶性贫血十余年,每月注射一次维生素B12达十余年。近一个

题型:单项选择题 A3/A4型题

题目:

女性,68岁。患萎缩性胃炎及恶性贫血十余年,每月注射一次维生素B12达十余年。近一个月来感活动后乏力。血红蛋白90g/L,平均红细胞血红蛋白浓度26%,平均红细胞体积67fl,网织红细胞计数0.6%,血清铁蛋白13μg/L。

下列哪项诊治措施最为恰当()。

A.少量输血

B.立即口服铁剂

C.进行便隐血、胃镜等项目的检查,诊断明确再行治疗

D.肌内注射铁剂

E.糖皮质激素

答案:

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