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患者,女性,26岁。因心悸、气短2月,贫血,于1989年1月3日入院。入院前曾做头颅CT扫描、胸片、骨穿、腰穿及其它生化检查,均未发现异常。查体:贫血貌,消瘦。皮肤弹性差,全身浅表淋巴结未触及。心率126次/分,各瓣膜区无杂音。Hb53g/L,WBC4.9×10~9/L,血小板44×10~9/L,网织红细胞4.2％,Na140mmol/L,K3.smmol/L,C1107mmol/L,SB<18umol/L,BUN24.2mmol/L,Cr369umol/L,A/G4.2/2.6,蛋白电泳、LDH、AKP、r-GT、a-FP、CEA均正常。抗核抗体、抗心肌抗体(一)。骨髓检查正常。B超肝脏轻度肿大。入院后给予补液、抗感染治疗,尿素氮、肌酐在5天之内降为正常。入院后一月心悸加重,不能平卧,夜间喘息,颈静脉怒
Patient, female, 26 years old. Due to heart palpitations, shortness of breath in February, anemia, on January 3, 1989 admission. Before the hospital had a head CT scan, chest, bone wear, waist wear and other biochemical tests, were found no abnormalities. Physical examination: anemia appearance, weight loss. Poor skin elasticity, systemic superficial lymph nodes not touched. Heart rate 126 beats / min, the valve area without noise. Hb53g / L, WBC 4.9 × 10-9 / L, platelet 44 × 10-9 / L, reticulocyte 4.2%, Na140mmol / L, K3.smmol / L, C1107mmol / L, SB <18umol / .2mmol / L, Cr369umol / L, A / G4.2 / 2.6, protein electrophoresis, LDH, AKP, r-GT, a-FP, CEA were normal. Antinuclear antibodies, anti-myocardial antibodies (A). Bone marrow examination is normal. B super light liver enlargement. After admission to give fluid, anti-infective treatment, urea nitrogen, creatinine reduced to normal within 5 days. January palpitations increased after admission, can not supine, breathing at night, jugular vein anger