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[2025年中国儿童输血依赖型地中海贫血输血管理指南]

[Guideline for transfusion management in Chinese children with transfusion-dependent thalassemia (2025)].

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2025 May 15;27(5):505-514. doi: 10.7499/j.issn.1008-8830.2410119.

DOI:10.7499/j.issn.1008-8830.2410119
PMID:40462422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12169880/
Abstract

Thalassemia is a group of hereditary disorders characterized by ineffective erythropoiesis due to hemoglobin synthesis abnormalities, resulting in varying degrees of chronic anemia. Patients with transfusion-dependent thalassemia rely on lifelong regular blood transfusions and iron chelation therapy. Proper transfusion treatment and management of transfusion-related complications are essential to ensure the growth and development of pediatric patients and to improve their quality of life. The guideline working group has developed the guideline by referencing domestic and international guidelines, expert consensus, and relevant studies. The aim is to further standardize the transfusion management of transfusion-dependent thalassemia in children in China.

摘要

地中海贫血是一组遗传性疾病,其特征是由于血红蛋白合成异常导致红细胞生成无效,从而引起不同程度的慢性贫血。依赖输血的地中海贫血患者依靠终身定期输血和铁螯合疗法。适当的输血治疗和输血相关并发症的管理对于确保儿科患者的生长发育和提高其生活质量至关重要。指南工作组通过参考国内外指南、专家共识和相关研究制定了本指南。目的是进一步规范中国儿童依赖输血的地中海贫血的输血管理。

相似文献

1
[Guideline for transfusion management in Chinese children with transfusion-dependent thalassemia (2025)].[2025年中国儿童输血依赖型地中海贫血输血管理指南]
Zhongguo Dang Dai Er Ke Za Zhi. 2025 May 15;27(5):505-514. doi: 10.7499/j.issn.1008-8830.2410119.
2
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Ther Adv Hematol. 2022 Dec 5;13:20406207221134404. doi: 10.1177/20406207221134404. eCollection 2022.
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Medicina (Kaunas). 2022 Oct 21;58(10):1496. doi: 10.3390/medicina58101496.
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Is there a standard-of-care for transfusion therapy in thalassemia?地中海贫血输血治疗有护理标准吗?
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Ferroportin inhibitor vamifeport ameliorates ineffective erythropoiesis in a mouse model of β-thalassemia with blood transfusions.铁蛋白抑制剂 vamifeport 改善输血治疗β-地中海贫血小鼠模型中的无效红细胞生成。
Haematologica. 2023 Oct 1;108(10):2703-2714. doi: 10.3324/haematol.2022.282328.
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Beta-Thalassemiaβ地中海贫血
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Luspatercept: a treatment for ineffective erythropoiesis in thalassemia.罗特西普:一种治疗地中海贫血无效红细胞生成的药物。
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Morbidities in non-transfusion-dependent thalassemia.非输血依赖型地中海贫血症的并发症。
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本文引用的文献

1
Red cell specifications for blood group matching in patients with haemoglobinopathies: An updated systematic review and clinical practice guideline from the International Collaboration for Transfusion Medicine Guidelines.血红蛋白病患者血型匹配的红细胞规格:输血医学指南国际协作组织的最新系统评价和临床实践指南
Br J Haematol. 2025 Jan;206(1):94-108. doi: 10.1111/bjh.19837. Epub 2024 Nov 13.
2
Reassessing blood product irradiation in haploidentical transplantation: a single-center perspective.重新评估单倍体相合移植中的血液制品辐照:单中心视角。
Hematology. 2024 Dec;29(1):2420144. doi: 10.1080/16078454.2024.2420144. Epub 2024 Oct 28.
3
Molecular genotyping versus serological diagnosis for RH blood group typing in sickle cell patients.采用分子基因分型法与血清学诊断法对镰状细胞病患者进行 RH 血型定型。
Expert Rev Clin Immunol. 2024 Nov;20(11):1421-1426. doi: 10.1080/1744666X.2024.2388700. Epub 2024 Aug 8.
4
Higher hemoglobin is better in thalassemia.在地中海贫血中,血红蛋白水平越高越好。
Blood. 2024 Mar 7;143(10):842-844. doi: 10.1182/blood.2023023294.
5
Pretransfusion hemoglobin level and mortality in adults with transfusion-dependent β-thalassemia.输血依赖型β地中海贫血成人患者输血前血红蛋白水平与死亡率
Blood. 2024 Mar 7;143(10):930-932. doi: 10.1182/blood.2023022460.
6
[Chinese guideline for diagnosis and treatment of transfusion dependent β-thalassemia (2022)].《输血依赖型β地中海贫血诊断与治疗中国指南(2022年版)》
Zhonghua Xue Ye Xue Za Zhi. 2022 Nov 14;43(11):889-896. doi: 10.3760/cma.j.issn.0253-2727.2022.11.002.
7
Red blood cell alloimmunization and other transfusion-related complications in patients with transfusion-dependent thalassemia: A multi-center study in Thailand.依赖输血的地中海贫血患者的红细胞同种免疫和其他输血相关并发症:泰国的一项多中心研究。
Transfusion. 2022 Oct;62(10):2039-2047. doi: 10.1111/trf.17068. Epub 2022 Aug 20.
8
2021 Thalassaemia International Federation Guidelines for the Management of Transfusion-dependent Thalassemia.2021年地中海贫血国际联合会输血依赖型地中海贫血管理指南
Hemasphere. 2022 Jul 29;6(8):e732. doi: 10.1097/HS9.0000000000000732. eCollection 2022 Aug.
9
Achievement of Pre- and Post-Transfusion Hemoglobin Levels in Adult Transfusion-Dependent Beta Thalassemia: Associated Factors and Relationship to Reduction of Spleen Enlargement.成人依赖输血的β地中海贫血患者输血前后血红蛋白水平的达成情况:相关因素及其与脾脏肿大缩小的关系
Int J Gen Med. 2021 Nov 1;14:7515-7521. doi: 10.2147/IJGM.S338114. eCollection 2021.
10
The transfusion management of beta thalassemia in the United States.美国β地中海贫血的输血管理
Transfusion. 2021 Oct;61(10):3027-3039. doi: 10.1111/trf.16640. Epub 2021 Aug 28.