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报告一例误诊为阵发性睡眠性血红蛋白尿症的宽热幅异常冷凝集素型自身免疫性溶血性贫血。患者冷凝素试验4℃效价>4096,积分104;25℃效价128,积分38;37℃效价64,积分22。讨论了两者在临床与溶血机制方面的鉴别诊断。
Report a case of misdiagnosed as paroxysmal nocturnal hemoglobinuria in the wide hot amplitude abnormal agglutinin-type autoimmune hemolytic anemia. Patient cholestatin test 4 ° C titer> 4096, integral 104; 25 ° C titer 128, integral 38; 37 ° C titer 64, integral 22. [ The differential diagnosis between the two in clinical and hemolysis mechanisms was discussed.