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补充铁剂可降低非贫血儿童屏气发作的频率和严重程度。

Iron supplementation reduces the frequency and severity of breath-holding attacks in non-anaemic children.

作者信息

Zehetner Anthony

机构信息

Department of Paediatrics, Teaching and Research Unit, The University of Newcastle Gosford Hospital, Gosford, Australia.

出版信息

Clin Pract. 2011 Nov 8;1(4):e98. doi: 10.4081/cp.2011.e98. eCollection 2011 Sep 28.

DOI:10.4081/cp.2011.e98
PMID:24765398
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3981420/
Abstract

Iron supplementation reduces the frequency and severity of breath-holding attacks (BHAs), particularly in children with iron deficiency. The issue of iron supplementation is less clear for Westernized children with BHAs who present to an outpatient community clinic and are not iron-deficient. This is the first reported case series of iron-replete children with frequent and disabling breath-holding attacks who have responded to a course of oral iron supplementation. This intervention is safe, improves quality of life for both child and carer, and is significantly cost-effective in terms of health resource utilization.

摘要

补充铁剂可降低屏气发作(BHA)的频率和严重程度,尤其是对于缺铁儿童。对于到门诊社区诊所就诊且不缺铁的西方化BHA儿童,补充铁剂的问题尚不太明确。这是首次报道的一系列铁充足但频发且严重的屏气发作儿童对口服铁剂疗程有反应的病例。这种干预措施是安全的,可改善儿童及其照料者的生活质量,并且在卫生资源利用方面具有显著的成本效益。

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1
Iron supplementation reduces the frequency and severity of breath-holding attacks in non-anaemic children.补充铁剂可降低非贫血儿童屏气发作的频率和严重程度。
Clin Pract. 2011 Nov 8;1(4):e98. doi: 10.4081/cp.2011.e98. eCollection 2011 Sep 28.
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Iron supplementation for breath-holding attacks in children.铁补充剂用于治疗儿童屏气发作
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Does iron therapy have a place in the management of all breath-holding spells?补铁治疗在所有屏气发作的治疗中是否有一席之地?
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Iron supplementation should be given in breath-holding spells regardless of anemia.无论是否贫血,都应在屏气发作时给予补铁。
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[A girl with breath-holding spells and anaemia, treated with iron supplementation].[一名患有屏气发作和贫血的女孩,接受了铁补充剂治疗]
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引用本文的文献

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Diagnosis and management of iron deficiency in children with or without anemia: consensus recommendations of the SPOG Pediatric Hematology Working Group.儿童缺铁症(伴或不伴贫血)的诊断与管理:SPOG 儿科学血液学工作组的共识推荐意见。
Eur J Pediatr. 2020 Apr;179(4):527-545. doi: 10.1007/s00431-020-03597-5. Epub 2020 Feb 4.

本文引用的文献

1
Long-term prognosis for children with breath-holding spells.屏气发作儿童的长期预后。
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2
Iron deficiency: beyond anemia.铁缺乏:不仅仅是贫血。
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3
Iron supplementation for breath-holding attacks in children.铁补充剂用于治疗儿童屏气发作
Cochrane Database Syst Rev. 2010 May 12(5):CD008132. doi: 10.1002/14651858.CD008132.pub2.
4
Breath holding spells in 91 children and response to treatment with iron.91名儿童的屏气发作及铁剂治疗反应
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5
Breath-holding spells in a patient with transient erythroblastopenia of childhood.一名患有儿童期暂时性红细胞生成减少症患者的屏气发作
J Pediatr. 1997 Apr;130(4):651-3. doi: 10.1016/s0022-3476(97)70252-x.
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Effectiveness of iron therapy on breath-holding spells.
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Resolution of breath-holding spells with treatment of concomitant anemia.通过治疗合并的贫血来解决屏气发作问题。
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