Children’s Hospital, Chen Erying. AUTOIMMUNE HEMOLYTIC ANEMIA (AHA) IN CHILDREN:A SURVEY OF 20 CASES. [J]. Journal of Chongqing Medical University (2):105-107(1986)
Children’s Hospital, Chen Erying. AUTOIMMUNE HEMOLYTIC ANEMIA (AHA) IN CHILDREN:A SURVEY OF 20 CASES. [J]. Journal of Chongqing Medical University (2):105-107(1986) DOI: 10.13406/j.cnki.cyxb.1986.02.012.
AUTOIMMUNE HEMOLYTIC ANEMIA (AHA) IN CHILDREN:A SURVEY OF 20 CASES
摘要
本文分析了小儿自身免疫性溶血性贫血20例
年龄从2月~13岁。起病多急骤(18例)贫血多重度(17例)
按病因分析:有诱因可查者占75.0%
均为各种感染。按抗体类型分析:温抗体型18例
急性冷凝集素病、阵发性寒冷性血红蛋白尿各1例。随访3月到6(1/2)年
死亡2例
死因主要为原发疾病。文章就临床特点、病因、抗体类型等进行了讨论
特别为本组4例温抗体型病例发生显著红细胞自身凝集现象
进行了研究。
Abstract
In this survey 20 patients with AHA were studied. The youngest patient was 2 months old and the eldest 13 years. In the majority of patients
anemia is severe with a sudden onset. In 75% of these patients the disease were induced by various acute infections. 18 cases contain the warmreacting antibody in the serum
1 case was diagnosed as acute cold agglutinin disease and 1 case had paroxysmal cold hemoglobinuria. All of these cases were followed-up for 3 months to61/2 years
two cases died from the underlying diseases. In this paper the etiology
the characteristics of clinical manifestations
and the antibody type
particularly for red cell autoagglutination (RAA) were discussed. It is suggested that warm antibody type AHA too may show RAA.