STURGEON P
Calif Med. 1952 May;76(5):346-9.
While iron deficiency is a common cause of anemia in infants, requiring specific treatment by administration of iron, there are other causes which require treatment equally specific. Anemia due to a nutritional deficiency can be improved only by providing the needed nutriment in sufficient quantity. Two case reports are presented. One is of megaloblastic anemia in an infant, which was treated with a variety of vitamin preparations before administration of folic acid produced improvement. The other report is of anemia due to iron deficiency treated successfully with ferrous sulfate in a dosage twenty times that previously used prophylactically. In prescribing an antianemic preparation the physician should assure himself that the dosage is adequate (for example, 0.5 gm. daily of ferrous sulfate for iron deficiency). "Broad-spectrum" preparations may be lacking in specific hematinics while containing a variety of vitamins which have no specific hematologic value.
虽然缺铁是婴儿贫血的常见原因，需要通过补充铁剂进行特殊治疗，但还有其他原因也需要同样特殊的治疗。营养缺乏导致的贫血只有通过足量提供所需营养才能改善。现展示两例病例报告。一例是婴儿巨幼细胞贫血，在使用叶酸治疗取得改善之前，曾用多种维生素制剂进行治疗。另一例报告是缺铁性贫血，使用硫酸亚铁成功治愈，其剂量是先前预防性使用剂量的20倍。在开抗贫血制剂的处方时，医生应确保剂量足够（例如，缺铁时每日服用0.5克硫酸亚铁）。“广谱”制剂可能缺乏特定的补血剂，却含有多种没有特定血液学价值的维生素。
