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患者,女,26岁。于1985年6月15日因自服杀虫脒约100ml中毒送入当地医院抢救,第2天苏醒,出现高烧39～40℃,面色发黄,心悸气短。经庆大、青霉素及对症处理,仍低热。第3天出现口唇指端紫绀,酱油尿。10天后,经门诊化验:血红蛋白2.1g%,红细胞92万,并发现幼稚红细胞。以溶血性贫血入院。查体:T37.2℃,R24次/分,P100次/分,BP100/60mmHg,呈严重贫血貌,全身皮肤未见出血点及瘀斑。浅部淋巴结无肿大,口唇苍白。颈静脉无怒张,双肺(-),心率100次/分,心音低钝,心尖部可闻Ⅱ～Ⅲ级以上收缩期杂音。肝脾未触及。肾区无叩击痛,双下肢无浮肿。实验室
Patient, female, 26 years old. On June 15, 1985 due to self-serving chlordimeform about 100ml poisoning into the local hospital for rescue, wake up the second day, a fever 39 ~ 40 ℃, looking yellow, palpitations shortness of breath. The celebration of large, penicillin and symptomatic treatment, is still low in heat. The first 3 days appeared lip finger cyanosis, soy sauce urine. After 10 days, the clinic clinics: hemoglobin 2.1g%, 920,000 red blood cells and found that naive red blood cells. To hemolytic anemia admitted. Examination: T37.2 ℃, R24 times / min, P100 beats / min, BP100 / 60mmHg, was a severe anemia appearance, no bleeding spots and ecchymosis of the whole body skin. Superficial lymph nodes without swelling, pale lips. Jugular vein without anger, lung (-), heart rate 100 beats / min, low heart sound blunted, apex can be heard Ⅱ ~ Ⅲ above systolic murmur. Liver and spleen not touched. Perling area without percussion pain, no swelling of both lower extremities. laboratory