Aplastic anemia (re-obstruction), a bone marrow hematopoietic failure, tends to occur in children and adolescents, high concealment and sudden turn-off rate, but the public knows very little about this disease, and many young lives disappear in panic and tossing. Therefore, early detection by parents is the key to keeping children away from life threats.
Guidance expert: Wen Xianhao
Deputy Chief Physician of the Department of Hematology and Oncology, Children's Hospital Affiliated to Chongqing Medical University
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The bruises on his legs did not go away and his face turned pale
Aplastic anaemia was detected in a 5-year-old boy
Matsumatsu (pseudonym) is a 5-year-old boy, usually lively and active, 2 months ago Matsumatsu's mother accidentally found a bruise on Matsumatsu's legs, thinking that it was caused by a bump when the child played, and it would subside in a few days. But 1 month has passed, the bruises not only did not subside, but also shed a nosebleed, the face became whiter and whiter, the usually lively and active Loose suddenly became "lazy", walking a few steps to want to hug the mother, from time to time there is some fever.
Song Song's mother was so anxious that she quickly took her child to the Department of Hematology and Oncology of the Children's Hospital Affiliated to Chongqing Medical University for treatment. Through blood routine examination, the hematological oncologist found that the white blood cells, red blood cells and platelets of Pine Pine are particularly low, further examination of bone marrow, etc., Pine Pine was diagnosed with aplastic anemia, which is severe, if not treated in time, serious bleeding or infection may endanger the life of Pine Pine's young children. Song Song's mother is very worried, but also very confused, why the child will suffer from aplastic anemia, how to cure Song Song's disease?
Be wary of 3 clinical manifestations
Early diagnosis, early treatment
According to Wen Xianhao, deputy chief physician of the Department of Hematology and Oncology, aplastic anemia (referred to as re-obstruction) belongs to bone marrow hematopoietic failure diseases, and its annual incidence rate in China is 0.74/100,000 people, which can occur in various age groups, and there is no obvious difference in the incidence of males and females. Re-obstruction is divided into congenital and acquired. Congenital re-impairment is rare and often combined with congenital developmental malformations and genetic abnormalities. The vast majority of re-obstructions are acquired re-obstructive.
The clinical manifestations of aplastic anemia are mainly reflected in three aspects:
1. Anemia, which can be progressively aggravated, appears such as pale face, lips, nail bed pallor, fatigue, and decreased activity.
2. Bleeding, there may be different degrees of bleeding of skin, mucous membranes, and organs. Skin bleeding is manifested as ecchymosis, petechiae, and even subcutaneous hematoma; mucous membranes are mainly nosebleeds, bleeding gums, conjunctival bleeding, etc.; organ bleeding can be seen hematemesis, hemoptysis, hemohemosis, hematuria and even intracranial hemorrhage, which can be life-threatening in severe cases.
3. Infection, because leukopenia leads to reduced immunity caused by infection, respiratory infections are the most common, often combined with sepsis, severe can be life-threatening.
Depending on the degree of bone marrow failure, re-obstruction is severe, extremely severe, and non-severe. Immunosuppressant or hematopoietic stem cell transplant therapy is selected according to different typings.
The hematologist at The Heavy Medicine Children's Hospital reminds parents that if your child is pallor, bleeding or recurrent infection, be sure to go to a regular hospital as soon as possible for early diagnosis and treatment.
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