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结合本病例特点,最可能的诊断为原发性铁粒幼细胞性贫血合并系统性红斑狼疮(SLE),结核不排除。诊断依据:原发性铁粒幼细胞性贫血:(1)患者血三系减少,高热。(2)查体贫血貌,左下肺呼吸音低,腹韧、肌紧张,右中上腹压痛,左下肢轻度可凹性水肿。(3)血常规提示血三系减少;骨髓穿刺检?
Combined with the characteristics of this case, the most likely diagnosis of primary iron -blastic anemia combined with systemic lupus erythematosus (SLE), tuberculosis is not ruled out. Diagnosis is based on: primary iron -blastic hematocytic anemia: (1) patients with blood triad reduction, high fever. (2) physical examination anemia, low left lung breath sounds, abdominal toughness, muscle tension, tenderness in the right middle and lower extremity mild concave concavity and edema. (3) blood prompted three blood to reduce; bone marrow biopsy?