Anemias hemolíticas adquiridas y congénitas

A. García Sánchez, A. Tamayo Soto, J. Martínez-López, M.T. Cedena Romero
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Abstract

Hemolytic anemias are a heterogeneous group of diseases characterized by a decrease in red blood cell survival (hemolysis). They are regenerative anemias (reticulocytosis) not justified by bleeding or recent correction of maturation factors deficits and which show signs of accelerated erythrocyte destruction, such as increased indirect bilirubin and lactate dehydrogenase (LDH) and decreased haptoglobin as well as morphological abnormalities on a peripheral blood smear. There are multiple causes of hemolytic anemia, including both acute and chronic congenital and acquired diseases. They are of varying potential severity. The intensity of the clinical signs and symptoms depends on the degree and speed of anemia onset. A good etiological diagnosis is fundamental in order to establish the proper treatment, given that each requires specific management.
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获得性和先天性溶血性贫血
溶血性贫血是一类以红细胞存活率下降(溶血)为特征的异质性疾病。溶血性贫血是一种再生性贫血(网状红细胞增多症),并非由于出血或近期成熟因子缺陷的纠正所致,表现为红细胞加速破坏的迹象,如间接胆红素和乳酸脱氢酶(LDH)升高、血红蛋白降低以及外周血涂片上的形态异常。溶血性贫血有多种病因,包括急性和慢性先天性和后天性疾病。它们的潜在严重程度各不相同。临床症状和体征的强度取决于贫血发病的程度和速度。良好的病因诊断是确定正确治疗的基础,因为每种病因都需要特定的治疗方法。
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