Zehetner Anthony
Department of Paediatrics, Teaching and Research Unit, The University of Newcastle Gosford Hospital, Gosford, Australia.
Clin Pract. 2011 Nov 8;1(4):e98. doi: 10.4081/cp.2011.e98. eCollection 2011 Sep 28.
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.
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。