Boasson M, Blanchet O, Dautel M
Service des maladies du sang, CHRU, Angers.
Rev Prat. 1993 Jun 1;43(11):1354-7.
Iron deficiency anaemia is characterized by the conjunction of a microcytic, typically are generative anaemia and a biochemical syndrome in which sideropoenia is associated with transferrin increase. It is usually due to a chronic exsudative gastrointestinal or gynaecological bleeding. Diagnosing the mechanism of anaemia is easy in most cases, but difficulties arise from association with a pathology, such as chronic inflammatory syndrome, disturbing the haematological or biochemical data. The prognosis of iron deficiency anaemia depends on its cause. Treatment is aetiological (the cause of chronic bleeding is suppressed) and symptomatic (the body's iron reserves are quickly restored).
缺铁性贫血的特征是小细胞性贫血(通常为增生性贫血)与一种生化综合征同时存在,该生化综合征中,铁缺乏与转铁蛋白增加相关。它通常是由慢性渗出性胃肠道或妇科出血引起的。在大多数情况下,诊断贫血的机制很容易,但与诸如慢性炎症综合征等病理状况相关联时会出现困难,这些病理状况会干扰血液学或生化数据。缺铁性贫血的预后取决于其病因。治疗方法包括病因治疗(抑制慢性出血的原因)和对症治疗(迅速恢复身体的铁储备)。