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儿童地中海贫血误诊四例分析

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目的:分析4例地中海贫血误诊漏诊的原因,为正确诊治提供经验。方法:回顾性分析我院4例地中海贫血患儿的诊治过程,分析其误诊漏诊的原因,并与营养性缺铁性贫血进行鉴别。结果:4例患儿病初诊断为营养性缺铁性贫血,予补铁治疗后血红蛋白无改善,最终3例确诊为β-地中海贫血,1例确诊为营养性缺铁性贫血合并α-地中海贫血。结论:地中海贫血在低发地区容易误诊漏诊,尤其当小细胞低色素性贫血补铁治疗不佳时,需警惕是否存在地中海贫血。
Thalassemia misdiagnosed as iron deficiency anemia: analysis of four cases
Objective:To analyze the causes of misdiagnosis of thalassemia to improve its recognition and accurate diagnosis.Methods:The clinical manifestations of four cases of thalassemia were retrospectively analyzed, and the difference between thalassemia and iron deficiency anemia was explored.Results:All four cases were diagnosed as iron deficiency anemia initially. After iron supplementation was ineffective, three cases was finally diagnosed as β-thalassemia and one as iron deficiency anemia combined with α-thalassemia.Conclusion:Thalassemia is easy to be misdiagnosed clinically. When the treatment of iron supplementation for microcytic hypochromic anemia is ineffective, the possibility of thalassemia should be considered.

赵宾洋、吴珺、王会娟、张欣、沙玉英、陈琳、田明达

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100043 北京,北京大学首钢医院儿科

β-地中海贫血 α-地中海贫血 营养性缺铁性贫血 误诊漏诊

北京市2021年度慢性病防治与健康教育科研项目2021年北京大学首钢医院高层次引进人才科研启动项目

BJMB0012021025011GCCRC202105

2023

中华临床医师杂志(电子版)
中华医学会

中华临床医师杂志(电子版)

CSTPCD
影响因子:0.99
ISSN:1674-0785
年,卷(期):2023.17(11)
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