婴幼儿重度缺铁性贫血，需住院治疗。
Severe Iron Deficiency Anemia in Infants and Young Children, Requiring Hospital Admission.
作者信息
Lundblad Kristin, Rosenberg Jonathan, Mangurten Henry, Angst Denise B
机构信息
Advocate Children's Hospital, Park Ridge, IL, USA.
University of Chicago Hospitals, Chicago, IL, USA.
出版信息
Glob Pediatr Health. 2016 Jan 22;3:2333794X15623244. doi: 10.1177/2333794X15623244. eCollection 2016.
Objective. This study evaluated patient characteristics, milk intake, and associated lab findings of children 6 months to 5 years old, admitted to a children's hospital with severe iron-deficiency anemia (IDA). Methods. A chart review was conducted on patients admitted with microcytic anemia (hemoglobin concentration less than 7 g/dL), accompanied by a low serum ferritin and/or low serum iron level between January 2000 and December 2006. Results. A total of 18 children with severe IDA were evaluated. Many had parents with private insurance and jobs. Almost all children drank >24 ounces of milk daily. Hemoglobin on admission was 3.8 g/dL, and the mean of the patients' mean corpuscular volume was 52.8 fL. Median iron levels were 4 µg/dL. Conclusions. Severe IDA is still prevalent in children, yet physicians may not perform necessary testing. The devastating long-term effects of severe IDA should prompt clinicians to screen for severe IDA in children regardless of absent risk factors.
目的。本研究评估了因严重缺铁性贫血（IDA）入住儿童医院的6个月至5岁儿童的患者特征、牛奶摄入量及相关实验室检查结果。方法。对2000年1月至2006年12月期间因小细胞贫血（血红蛋白浓度低于7 g/dL）入院，同时伴有低血清铁蛋白和/或低血清铁水平的患者进行病历审查。结果。共评估了18例严重IDA患儿。许多患儿的父母有私人保险且有工作。几乎所有患儿每天饮用超过24盎司牛奶。入院时血红蛋白为3.8 g/dL，患者平均红细胞体积均值为52.8 fL。铁水平中位数为4 µg/dL。结论。严重IDA在儿童中仍然普遍存在，但医生可能未进行必要的检查。严重IDA的长期破坏性影响应促使临床医生对儿童进行严重IDA筛查，无论是否存在危险因素。
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