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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。
This article analyzes 20 cases of autoimmune hemolytic anemia in children, aged from February to 13 years old. Multi-abrupt onset (18 cases) multiple anemia (17 cases), according to the etiology analysis: There are inductive agents accounted for 75.0%, all kinds of infections. According to the type of antibody analysis: warm antibody type in 18 cases, acute cold agglutinin disease, paroxysmal cold hemoglobinuria in 1 case. Follow-up from March to 6 (1/2) years, 2 died, the main cause of death was primary disease. The article discusses the clinical features, etiology, antibody types, etc., in particular, the group of 4 cases of warm antibody type significant red blood cell agglutination phenomenon was studied.