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儿童和青少年缺铁和缺铁性贫血的诊断和治疗:波兰儿科学会、波兰儿科肿瘤学和血液学学会、波兰新生儿学会和波兰家庭医学学会的建议。

Diagnosis and Treatment of Iron Deficiency and Iron Deficiency Anemia in Children and Adolescents: Recommendations of the Polish Pediatric Society, the Polish Society of Pediatric Oncology and Hematology, the Polish Society of Neonatology, and the Polish Society of Family Medicine.

机构信息

Department of Pediatrics, Institute of Medical Sciences, University of Rzeszow, 35-310 Rzeszow, Poland.

Clinic of Pediatric Oncology and Hematology, State Hospital 2, 35-301 Rzeszow, Poland.

出版信息

Nutrients. 2024 Oct 25;16(21):3623. doi: 10.3390/nu16213623.

DOI:10.3390/nu16213623
PMID:39519457
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11547346/
Abstract

Iron deficiency is one of the most common nutritional deficiencies worldwide and is the leading cause of anemia in the pediatric population (microcytic, hypochromic anemia due to iron deficiency). Moreover, untreated iron deficiency can lead to various systemic consequences and can disrupt the child's development. Therefore, a team of experts from the Polish Pediatric Society, the Polish Society of Pediatric Oncology and Hematology, the Polish Neonatology Society, and the Polish Society of Family Medicine, based on a review of the current literature, their own clinical experience, and critical discussion, has developed updated guidelines for the diagnosis, prevention, and treatment of iron deficiency in children from birth to 18 years of age. These recommendations apply to the general population and do not take into account the specifics of individual conditions and diseases.

摘要

缺铁是全球最常见的营养缺乏症之一,也是儿科人群中贫血的主要原因(由于缺铁导致的小细胞低色素性贫血)。此外,未经治疗的缺铁会导致各种全身后果,并可能干扰儿童的发育。因此,波兰儿科学会、波兰儿科肿瘤学和血液学学会、波兰新生儿学会以及波兰家庭医学学会的专家组在对现有文献进行回顾、结合自身临床经验并进行批判性讨论的基础上,制定了针对 0 至 18 岁儿童缺铁症的诊断、预防和治疗的更新指南。这些建议适用于普通人群,并未考虑个体情况和疾病的具体细节。

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本文引用的文献

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Protein-Losing Enteropathy in the Setting of Iron Deficiency Anemia: A Case Series.缺铁性贫血背景下的蛋白丢失性肠病:病例系列
JPGN Rep. 2020 Aug 21;1(2):e009. doi: 10.1097/PG9.0000000000000009. eCollection 2020 Nov.
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Benefits and Risks of Early Life Iron Supplementation.生命早期铁补充的益处和风险。
Nutrients. 2022 Oct 19;14(20):4380. doi: 10.3390/nu14204380.
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Neglected Comorbidity of Chronic Heart Failure: Iron Deficiency.慢性心力衰竭被忽视的共病:缺铁。
Nutrients. 2022 Aug 5;14(15):3214. doi: 10.3390/nu14153214.
4
Enteral Iron Supplementation in Preterm or Low Birth Weight Infants: A Systematic Review and Meta-analysis.肠内铁补充剂在早产儿或低出生体重儿中的应用:系统评价和荟萃分析。
Pediatrics. 2022 Aug 1;150(Suppl 1). doi: 10.1542/peds.2022-057092I.
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Effectiveness of Dietary Interventions in Prevention and Treatment of Iron-Deficiency Anemia in Pregnant Women: A Systematic Review of Randomized Controlled Trials.膳食干预在预防和治疗孕妇缺铁性贫血中的效果:随机对照试验的系统评价。
Nutrients. 2022 Jul 23;14(15):3023. doi: 10.3390/nu14153023.
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Iron Homeostasis in the CNS: An Overview of the Pathological Consequences of Iron Metabolism Disruption.中枢神经系统中的铁稳态:铁代谢紊乱的病理后果概述。
Int J Mol Sci. 2022 Apr 19;23(9):4490. doi: 10.3390/ijms23094490.
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New Insights into Iron Deficiency Anemia in Children: A Practical Review.儿童缺铁性贫血的新见解:实用综述
Metabolites. 2022 Mar 25;12(4):289. doi: 10.3390/metabo12040289.
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The effect of reticulocyte hemoglobin content on the diagnosis of iron deficiency anemia: A meta-analysis study.网织红细胞血红蛋白含量对缺铁性贫血诊断的影响:一项荟萃分析研究
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