最近审阅: 6 二月 2021
最近更新: 22 十月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 苍白
  • 黄疸
  • 脾肿大

其他诊断因素

  • 疲劳
  • 胎儿水肿或死胎

危险因素

  • 脾切除术、贫血、黄疸或 HS 家族史
  • 风险人群

诊断性检查

首要检查

  • 全血细胞计数 (FBC)
  • 网织红细胞计数
  • 血涂片
  • 血清胆红素
  • 血清转氨酶
  • 直接抗人球蛋白试验 (DAT)

需考虑的检查

  • 伊红-5-马来酰亚胺结合试验
  • 酸化甘油溶解试验
  • 十二烷基硫酸钠-聚丙烯酰胺凝胶电泳

治疗流程

撰稿人

Associate Professor of Pediatrics

University of Arkansas for Medical Sciences

Little Rock

AR

利益声明

SC is on an advisory board for Genentech for a hemophilia product (unrelated to this article).

Dr Shelley Crary would like to gratefully acknowledge Dr Paula Bolton-Maggs, a previous contributor to this topic. PB-M has received travel and accommodation payments to give a series of lectures on paediatric haematology, one of which was on HS. She also was an expert witness in a legal case concerning a child with HS. PB-M is an author of some references cited in this topic.

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Professor of Medicine Emeritus

School of Medicine and Public Health

University of Wisconsin-Madison

Madison

WI

利益声明

RS is an author of a number of references cited in this topic.

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