细菌性痢疾伴发再生障碍性贫血一例:患者男,23岁,因发热、腹痛、脓血便2天入院。体检:体温40℃,脉搏120次,血压80/50,神志昏迷,瞳孔对光反射迟钝,四肢厥冷。肝肋下0.5cm,脾未及。自肛门流脓血大便。大便镜检:脓细胞(++)。红细胞与吞噬红细各少量,血常规:血红蛋白80g/L,红细胞2.64×10~(12)/L,白细胞1.4×10~9/L,中性32％,淋巴68％,血小板37×10~9/L,给予抗休克,控制感染,4天后左小腿内侧出现豆大瘀斑,便血,咯血,体温上升。骨髓穿刺呈骨髓增生重 A case of bacillary dysentery with aplastic anemia: A male patient, aged 23, was admitted for 2 days due to fever, abdominal pain and pus and blood. Physical examination: body temperature 40 ℃, pulse 120 times, blood pressure 80/50, unconsciousness, slow pupil light reflex, extremities Jueleng. Liver ribs 0.5cm, spleen and time. Since the anal flow of secrete blood stool. Stool microscopy: pus (++). Erythrocytes and phagocytic red in small amounts, blood: hemoglobin 80g / L, erythrocytes 2.64 × 10-12 / L, white blood cells 1.4 × 10 ~ 9 / L, 32% neutral, lymphatic 68%, platelets 37 × 10 ~ 9 / L, given anti-shock, infection control, four days later, the left leg appear bean ecchymosis, hematochezia, hemoptysis, body temperature rise. Bone marrow puncture was bone marrow hyperplasia