作者报导44名自身免疫性溶血性贫血的患儿,其中31名(70％)为具有热自身抗体的急性、亚急性或慢性型病例,13名(30％)为具有冷自身抗体的急性或慢性型病例,最常见的是具有热自身抗体的急性和亚急性病例,通常见于年龄较小的儿童,而慢性型的自身免疫性溶血性贫血主要见于青春期的儿童。16％的患儿同时罹患各种慢性病(全身性红斑性狼疮,慢性非特异性淋巴结炎,肾小球肾炎)。50％以上的患儿在发生溶血性贫血之前曾罹患急性传染病或进行免疫接种,具有热自身抗体的急性或亚急性型病例,病前多有急性传染病或进行免疫接种的历史,一般起病较急,贫血较重,治疗上除了使用皮质激素外,常需输血,治疗反应较佳,预后较好。同时伴发慢性病者 The authors reported 44 children with autoimmune hemolytic anemia, of which 31 (70%) were acute, subacute or chronic with hot autoantibodies, 13 (30%) were acute with cold autoantibodies or Chronic cases, the most common are acute and subacute cases with thermal autoantibodies, are commonly found in younger children, whereas chronic autoimmune hemolytic anemia is mainly found in adolescent children. 16% of children with various chronic diseases (systemic lupus erythematosus, chronic non-specific lymphadenitis, glomerulonephritis). More than 50% of children with acute or subacute fever or fever prior to the onset of hemolytic anemia have acute or subacute cases of acute autoimmune disease. There are more acute infectious diseases or immunizations, More acute illness, severe anemia, in addition to the treatment of corticosteroids, often requiring blood transfusion, better response to treatment, the prognosis is better. At the same time with chronic disease