本院于1987年5月29日收治一女患者(40岁)。查体见全身皮肤苍白,睑结膜及口唇苍白,呈重度贫血。血象髓象检查:Hb4.5克％,RBC138万/mm~3;髓象见巨核细胞增生不良,全片未见到巨核细胞,血小板罕见。初步诊断为巨系增生不良、难治性贫血。经用铁剂、叶酸、VitB_(12)等治疗并输血,4月后情况同前,会诊疑为缺铜性贫血,测发铜,锌,发现锌/铜比值大,乃确认本病例与缺铜有关。除继续小剂量丙酸睾丸酮及肝血宝治疗外,加用 A female patient (40 years old) was admitted to our hospital on May 29, 1987. Physical examination showed pale skin, palpebral conjunctiva and pale lips, was severe anemia. Blood cesarean examination: Hb4.5 g%, RBC138 million / mm ~ 3; medullary megakaryocytes see poor cell proliferation, the whole film did not see megakaryocytes, rare platelets. Preliminary diagnosis of megaloblastic hyperplasia, refractory anemia. After treatment with iron, folic acid, VitB_ (12) and blood transfusions, the situation is the same as before April, the diagnosis of copper deficiency anemia is diagnosed. Copper and zinc were measured and the zinc / copper ratio was found to be large. Copper related. In addition to continuing small doses of testosterone propionate and liver blood Bao treatment, plus use