长期的实验室随访对于患有乳的儿科患者至关重要
Alexander Krauthammer1,2, Anat Guz-Mark1,2, Noam Zevit1,2
1Institute of Gastroenterology, Nutrition and Liver Diseases, Schneider Children's Medical Center of Israel, Petah Tikva, Israel.
Journal of pediatric gastroenterology and nutrition
|February 12, 2025
概括
在长期随访期间,监测血红蛋白,铁素,叶酸,肝脏和甲状腺功能对于儿科腹腔疾病 (CeD) 患者至关重要,除了腹腔血清学外. 这些测试有助于检测随着时间的推移可能出现的潜在异常.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 临床诊断 临床诊断 临床诊断
- 自免疫性疾病 自免疫性疾病
背景情况:
- 病 (CeD) 需要终身监测.
- 对于非血清性实验室测试在CeD随访中的有用性仍然不完全理解.
研究的目的:
- 为了确定监测儿科乳病患者的必要实验室测试.
- 在长期随访期间确定实验室异常的流行率和时间.
主要方法:
- 在1999年至2018年期间,对500名被诊断患有CeD的儿童进行了回顾性图表审查.
- 对人口统计,临床和实验室数据的分析,从诊断到随访.
主要成果:
- 常见的初始异常包括低费里 (64.3%),维生素D (33.6%), (29.9%) 和血红蛋白 (29.2%).
- 在随访期间,14.8%的患者出现了贫血;叶酸缺乏和异常的肝酶也后来出现.
- 在随访期间,在5%的患者中发现了提升的TSH.
结论:
- 儿科乳病患者在诊断和随访期间表现出各种实验室异常.
- 继续监测血红蛋白,费里丁,叶酸,肝功能和甲状腺功能是建议在乳血清学.
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