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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。

Diagnosis and management of iron deficiency in children with or without anemia: consensus recommendations of the SPOG Pediatric Hematology Working Group.

机构信息

Department "Woman-Mother-Child and Adolescent", Pediatric Hematology-Oncology Unit, Division of Pediatrics, University Hospital of Geneva, Geneva, Switzerland.

Division of Pediatric Hematology, University Children's Hospital of Zurich, Zurich, Switzerland.

出版信息

Eur J Pediatr. 2020 Apr;179(4):527-545. doi: 10.1007/s00431-020-03597-5. Epub 2020 Feb 4.

Abstract

Iron deficiency is the most prevalent nutritional deficiency affecting children and adolescents worldwide. A consistent body of epidemiological data demonstrates an increased incidence of iron deficiency at three timepoints: in the neonatal period, in preschool children, and in adolescents, where it particularly affects females.Conclusion: This narrative review focuses on the most suggestive symptoms of iron deficiency in childhood, describes the diagnostic procedures in situations with or without anemia, and provides Swiss expert-based management recommendations for the pediatric context.What is Known:• Iron deficiency (ID) is one of the most common challenges faced by pediatricians.• Significant progress in the diagnosis and therapy of ID has been made over the last decade.What is New:• Our expert panel provides ID management recommendations based on the best available evidence.• They include strategies for ID diagnosis and therapy, both oral and intravenous.

摘要

缺铁是全球范围内影响儿童和青少年的最常见营养缺乏症。大量的流行病学数据表明,在三个时间点上缺铁的发生率增加:新生儿期、学龄前儿童和青少年期,其中女性特别容易受到影响。结论:本综述重点关注儿童缺铁最具提示性的症状,描述了有或无贫血情况下的诊断程序,并为儿科环境提供了基于瑞士专家的管理建议。已知:• 缺铁(ID)是儿科医生面临的最常见挑战之一。• 在过去十年中,ID 的诊断和治疗取得了重大进展。新内容:• 我们的专家小组根据现有最佳证据提供 ID 管理建议。• 它们包括 ID 诊断和治疗的策略,包括口服和静脉内治疗。

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