Steiner Laurie A, Gallagher Patrick G
Division of Perinatal Medicine, Department of Pediatrics, Yale University School of Medicine, New Haven, CT 06520-8064, USA.
Semin Perinatol. 2007 Aug;31(4):254-61. doi: 10.1053/j.semperi.2007.05.003.
Anemia is a commonly encountered problem in the fetal and neonatal period, and can lead to significant morbidity and mortality. Intrinsic disorders of the erythrocyte, such as the hemoglobinopathies, enzyme deficiencies, and membrane defects are common causes of neonatal anemia. Genetic diseases that lead to decreased erythrocyte production, such as Diamond-Blackfan anemia, Schwachman-Diamond syndrome, and Congential Dyserythropoietic Anemia, are rare causes of perinatal anemia, but are important to recognize as they are often associated with other congenital abnormalities and require specialized treatment. This review focuses on the perinatal presentation and management of intrinsic erythrocyte disorders, as well as on the diagnosis and management of genetic conditions leading to erythrocyte underproduction.
贫血是胎儿期和新生儿期常见的问题,可导致严重的发病和死亡。红细胞的内在疾病,如血红蛋白病、酶缺乏症和膜缺陷是新生儿贫血的常见原因。导致红细胞生成减少的遗传性疾病,如先天性纯红细胞再生障碍性贫血、施瓦克曼-戴蒙德综合征和先天性红细胞生成异常性贫血,是围产期贫血的罕见原因,但因其常与其他先天性异常相关且需要特殊治疗,所以识别它们很重要。本综述重点关注红细胞内在疾病的围产期表现和管理,以及导致红细胞生成不足的遗传疾病的诊断和管理。