Zhongguo Dang Dai Er Ke Za Zhi. 2025 Apr 15;27(4):377-388. doi: 10.7499/j.issn.1008-8830.2411001.
Iron overload is a major complication of thalassemia, clinically manifested as heart failure, liver cirrhosis, diabetes, growth and development retardation, and delayed sexual development, with severe cases leading to death. Standardized iron chelation therapy is essential to ensure long-term and high-quality survival for patients. This guideline provides recommendations on methods for detecting iron overload, the timing for initiating iron chelation therapy, treatment strategies for transfusion-dependent and non-transfusion-dependent thalassemia, and special circumstances regarding iron chelation therapy, serving as a reference for iron chelation treatment in thalassemia.
铁过载是地中海贫血的主要并发症,临床表现为心力衰竭、肝硬化、糖尿病、生长发育迟缓以及性发育延迟,严重时可导致死亡。标准化的铁螯合治疗对于确保患者长期高质量生存至关重要。本指南就铁过载的检测方法、开始铁螯合治疗的时机、输血依赖型和非输血依赖型地中海贫血的治疗策略以及铁螯合治疗的特殊情况提供了建议,为地中海贫血的铁螯合治疗提供参考。