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患者:女,49岁,呼郊农民。患者因经常昏迷、全身抽搐癫痫大发作已26年,而一直服苯妥英钠控制。1974年因兰尾炎穿孔来我院手术时发现有贫血征,治愈后无后遗症。近两周贫血征加剧,食欲消失,卧床不起,头昏、以贫血待查于1975年8月7日再收入院。既往无黄疸、腹泻、排虫及其他感染史。患者除秋季吃些新鲜蔬菜瓜果、除春节前后有肉食外,平素几以二莜面、马铃薯为唯一食品。纳差、舌灼疼。月经顺调量少,21岁仅育一子,44岁闭经。体检:T、37.5℃,P96,BP89/40发育正常,营养差,贫血貌,表情淡漠。浅淋巴结不大。皮干、无黄染及紫癜。口腔无溃疡,舌肿少苔舌乳头萎缩。心前区三级缩鸣、肝脾未扪及。下腿不肿。神经系统检查(-)。实验室检查 RBC 85万、Hb3克,WBC 4000,N70％,St7％、L22％,
Patient: Female, 49 years old, Hujiao peasant. Patients often convulsive, convulsive seizures convulsions have been 26 years, and has been serving phenytoin sodium control. In 1974 due to pericarditis perforation to our hospital found anemia syndrome, no sequelae after the cure. Nearly two weeks levy increased anemia, loss of appetite, bedridden, dizziness, anemia pending investigation in August 7, 1975 and then admitted to hospital. No history of jaundice, diarrhea, parasites and other infections. In addition to eating fresh vegetables and fruits in autumn, in addition to meat before and after the Spring Festival, usually several to two noodles, potato is the only food. Anorexia, burning tongue pain. Menstrual Shun volume less, only 21-year-old son, 44-year-old amenorrhea. Physical examination: T, 37.5 ℃, P96, BP89 / 40 normal development, poor nutrition, anemia, apathy. Shallow lymph nodes are not. Dry skin, no yellow dye and purpura. Oral no ulcers, tongue swollen tongue coating atrophy. Pre-emphatic area three Ming Ming, liver and spleen not palpable. Lower leg is not swollen. Neurological examination (-). Laboratory RBC 850000, Hb3 grams, WBC 4000, N70%, St7%, L22%,