论文部分内容阅读
患者女,66岁.因面色苍白逐渐加重月余,于1984年11月15日住院.患者平素身体健康,无肝炎、结核史,未服过氯霉素、磺胺药物史.查体:体温36℃,重度贫血容,巩膜无黄染,全身皮肤无出血点,浅表淋巴结未触及,胸骨无压痛,心肺正常,肝脾未触及.化验:血红蛋白30g/L,白细胞4×10~9/L,血小板120×10~9/L,网织红细胞0.001,抗人球蛋白试验阴性,汉姆氏试验阴性,免疫球蛋白正常,肝、肾功能正常,尿常规正常,罗氏试验阴性,大便常规正常,大便隐血阴性,心肺正常;骨髓象:有核细胞增生活跃,粒系及巨核系统的增生活跃,红系统增生极度减低.根据化验及骨髓象特点,确诊纯红再障无疑。给予强的松60mg/d 及输血治疗,贫血改善迅速,一月后血红蛋白达95g/
Female patient, 66 years old, because of pale gradually increased more than a month, was hospitalized on November 15, 1984. The patient usually healthy, no hepatitis, tuberculosis history, did not take chloramphenicol, sulfa drug history. ℃, severe anemia, sclera without yellow dye, no skin bleeding, superficial lymph nodes not touched, sternum no tenderness, normal heart and lung, liver and spleen not touched.Examination: hemoglobin 30g / L, white blood cells 4 × 10 ~ 9 / L , Platelets 120 × 10 ~ 9 / L, reticulocyte 0.001, negative anti-human globulin test, negative Hamster test, normal immunoglobulin, normal liver and kidney function, normal urinalysis, negative Roche test, normal stool , Fecal occult blood negative, normal heart and lung; bone marrow as: active nucleated cell proliferation, hyperplasia of the granulocyte and megakaryocyte system is extremely active, red system hyperplasia is extremely reduced.According to laboratory tests and bone marrow characteristics, diagnosed pure red aplastic anemia. Given prednisone 60mg / d and transfusion therapy, anemia improved rapidly, after January hemoglobin up to 95g /