Omine Mitsuhiro
Showa University Fujigaoka Hospital.
Nihon Rinsho. 2008 Mar;66(3):433-8.
The research committee for idiopathic hematopoietic disorders, which has been supported by the government over the past 35 years, has recently worked out a series of reference guide for the management of diseases under investigation to provide aids for better understanding of pathophysiology of diseases and appropriate clinical decision making. Such attempts covered aplastic anemia, Fanconi anemia, pure red cell aplasia, autoimmune hemolytic anemia, paroxysmal nocturnal hemoglobinuria, myelodysplastic syndromes and primary myelofibrosis, and included diagnostic criteria and severity classification as well as clinical pictures derived from nationwide survey studies. Therapeutic measures were evaluated according to the concepts of evidence-based medicine, when applicable. This report presents an overview of these guides and summarizes key issues in each disease entity.
过去35年来一直得到政府支持的特发性造血疾病研究委员会,最近制定了一系列针对所研究疾病管理的参考指南,以帮助更好地理解疾病的病理生理学并做出恰当的临床决策。此类尝试涵盖再生障碍性贫血、范可尼贫血、纯红细胞再生障碍性贫血、自身免疫性溶血性贫血、阵发性夜间血红蛋白尿、骨髓增生异常综合征和原发性骨髓纤维化,包括诊断标准、严重程度分类以及来自全国性调查研究的临床症状。在适用的情况下,根据循证医学的理念对治疗措施进行了评估。本报告概述了这些指南,并总结了每个疾病实体的关键问题。