Bhargava Sital, Meurer Linda N, Jamieson Barbara, Hunter-Smith Dan
Medical College of Wisconsin, Milwaukee, WI, USA.
J Fam Pract. 2006 Jul;55(7):629-30.
Infants and toddlers with suspected iron-deficiency anemia should begin treatment with oral ferrous sulfate (3 mg/kg/d of elemental iron). A rise in hemoglobin >1 g/dL after 4 weeks supports the diagnosis of iron deficiency, and supplementation should continue for 2 additional months to replenish iron stores. Recheck hemoglobin at the end of treatment and again 6 months later (strength of recommendation [SOR]: C, based on expert opinion). For primary prevention, counsel parents on the use of iron-fortified formula for non-breastfed infants until the age 12 months (SOR: B, based on randomized controlled study), and introduce iron-rich foods between 4 and 6 months to breastfed babies (SOR: C, based on expert opinion).
疑似缺铁性贫血的婴幼儿应开始口服硫酸亚铁治疗（元素铁3毫克/千克/天）。4周后血红蛋白升高>1克/分升支持缺铁诊断，补充应再持续2个月以补充铁储备。治疗结束时复查血红蛋白，6个月后再次复查（推荐强度[SOR]：C，基于专家意见）。对于一级预防，建议非母乳喂养婴儿的家长在12个月龄前使用铁强化配方奶（SOR：B，基于随机对照研究），并在4至6个月时给母乳喂养婴儿引入富含铁的食物（SOR：C，基于专家意见）。
