Salsbury D C
NICU, Stormont-Vail Regional Health Center, Topeka, Kansas 66604, USA.
Neonatal Netw. 2001 Aug;20(5):13-20. doi: 10.1891/0730-0832.20.5.13.
Physiologic anemia is a common and normal finding in newborn infants. In preterm infants, anemia of prematurity is the result of this normal physiologic process compounded by the morbidity of prematurity. Premature infants reach their nadir hematocrit sooner and at a lower level than term. This article reviews the physiology of stem cell differentiation and the structure and function of the red blood cell, as well as examining red blood cell indices. It also addresses the etiology, symptomatology, diagnostic workups and treatment/prevention modalities of anemia of prematurity. Treatment for and prevention of anemia of prematurity remain controversial, and specific criteria are lacking.
生理性贫血在新生儿中是常见且正常的现象。在早产儿中,早产贫血是这种正常生理过程与早产相关疾病共同作用的结果。早产儿的血细胞比容最低点出现得比足月儿更早,且水平更低。本文回顾了干细胞分化的生理学、红细胞的结构和功能,并探讨了红细胞指数。它还阐述了早产贫血的病因、症状、诊断检查以及治疗/预防方式。早产贫血的治疗和预防仍存在争议,且缺乏具体标准。