我的血液病医生的Note说的对吗？

周一刚见过我的血液病医生，她的诊后Note是这样写的：

Cirrhosis with hematomachromatosis

--The benefit of iron depletion is well established in patietns with hereditary hemochromatosis

--I am unfamiliar with the data supporting the use of phlebotomy in patients with iron overload associated with NASH or HepC. To the best of my knowledge there is anecdotal evidence to suppor the benefit of iron depletion to slow progression of liver disease. My own survey of the literature has not shown benefit of phlebotomy in patients with iron overload from NASH associated cirrhosis.

 

HepC 应该是HepB的笔误。

所有跟帖： 

• 个人更倾向于肝脏专科医生的，要不换个血液病医生看看？ -pickshell- ♀ (0 bytes) () 04/14/2023 postreply 06:10:36

• 过多铁沉积也会影响造血也会造成血象偏低 -allthelight- ♂ (399 bytes) () 04/14/2023 postreply 06:43:39

• 铁过载可导致肝硬化和影响造血，这类文献很多。比如。。 -pickshell- ♀ (474 bytes) () 04/14/2023 postreply 07:12:18

• 那怎样检测放血疗法的效果呢？ -allthelight- ♂ (45 bytes) () 04/14/2023 postreply 12:02:52

• 查血清铁蛋白（serum ferritin，SF）。。 -pickshell- ♀ (171 bytes) () 04/14/2023 postreply 12:54:51

• 我的血中铁不高。 -allthelight- ♂ (369 bytes) () 04/14/2023 postreply 14:48:08

• 得去找医生查铁过多沉积原因，包含铁代谢方面疾病，针对性治疗，这个没法猜。 -pickshell- ♀ (0 bytes) () 04/14/2023 postreply 15:00:48

• 好像铁代谢异常在肝病中常见 -allthelight- ♂ (62 bytes) () 04/14/2023 postreply 16:15:54