富雪玮 王蔚

    摘 要 缺铁性贫血是临床上最常见的一种贫血，其可由许多不同的病因引起。目前全球1/3人口患有贫血，其中大多数由缺铁导致。对于单纯铁缺乏患者，口服补铁为首选治疗方法。而对于非单纯铁缺乏患者，是选择口服补铁还是经静脉途径补铁呢？本文通过对1例病例诊治过程的介绍和相应的文献复习，讨论缺铁性贫血治疗方案的选择原则。

    关键词 缺铁性贫血 炎症性贫血 经静脉用铁剂

    中图分类号：R556.3 文献标志码：B 文章编号：1006-1533(2021)15-0008-03

    Iron deficiency anemia unresponsive to oral iron： one case and treatment

    FU Xuewei， WANG Wei

    (Department of Hematology， Huashan Hospital， Fudan University， Shanghai 200040， China)

    ABSTRACT Iron deficiency anemia is the most common type of anemia in clinical practice， which can be caused by many different reasons. Currently， one third of the worlds population suffers from anemia， most of which are due to iron deficiency. For patients merely with iron deficiency， oral iron is considered front line therapy. For patients with not only iron deficiency but also other risk of anemia， should we choose oral iron supplementation or intravenous iron supplementation？ This article discusses the principles of treatments for iron deficiency anemia through a case and literature review. ......