慢性病贫血(anemia of chronic disease,ACD)是一常见病,发病率仅次于缺铁性贫血,属继发性贫血。常见病因为慢性感染(如结核)、各类炎症反应性疾病(如RA、SLE)、肿瘤、慢性肾病等。多为轻度至中度贫血,进展缓慢。其特点为血清铁、总铁结合力降低,血清铁蛋白、单核巨噬细胞系统(MMS)等储存铁指标增高〔1〕。近年来,ACD的 Anemia of chronic disease (ACD) is a common disease, the incidence of second only to iron deficiency anemia, is a secondary anemia. Common causes of chronic infection (such as tuberculosis), various types of inflammatory diseases (such as RA, SLE), cancer, chronic kidney disease. Mostly mild to moderate anemia, slow progress. It is characterized by serum iron, reduced total iron binding, serum ferritin, mononuclear macrophage system (MMS) and other storage iron indicators increased 〔1〕. In recent years, ACD’s