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患者男,55岁。因发热、全身痛半月于1983年1月16日入院。自1970年7月起渐感头晕、头痛、面色绛红伴脾大来院就诊。第一次血象:血红蛋白18.5g/L,红细胞610万,白细胞11000,中性76％,淋巴15％,嗜酸6％,单核3％。红细胞压积>60％,确诊为真性红细胞增多症。用放血疗法和中草药治疗,病情稳定。患者1974年起每年去上海接受放射性~(32)磷治疗一个疗程。(剂量为3毫居里/次,2次为一疗程)。1981年9月改服马利兰治疗1个月(总剂量为120mg)。1982年5月感觉头昏、乏力加重,继而发现全血细胞减少,1982年9月,经骨髓穿刺检查:有核细胞增生明显减低;淋巴细胞、浆细胞及网状细胞增多,诊断再障贫血。经输血、中
Male patient, 55 years old. Due to fever, full-bodied half a month on January 16, 1983 admission. Since 1970 July dizziness, headache, looking dark red with spleen to hospital treatment. The first blood: hemoglobin 18.5g / L, 6.1 million red blood cells, white blood cells 11000, 76% neutral, lymph 15%, 6% eosinophilic, mononuclear 3%. Hematocrit> 60%, diagnosed as polycythemia vera. Bloodletting therapy and Chinese herbal medicine treatment, stable condition. Patients from 1974 to Shanghai every year to accept radioactive (32) phosphorus treatment of a course of treatment. (Dose is 3 millicuries per second, twice for a course of treatment). September 1981 service to Maryland for 1 month (total dose of 120mg). May 1982 feeling dizzy, fatigue increased, and then found that pancytopenia, in September 1982, by bone marrow biopsy: significantly decreased nucleated cell proliferation; lymphocytes, plasma cells and reticulocytes increased diagnosis of aplastic anemia. Transfusion, in