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对肺含铁血黄素沉着症误诊1例分析如下。1病历摘要女,14月龄。因贫血发作性加重4个月,反复住院3次。每次发病间隔1~2个月。均表现为贫血进行性加重、乏力、精神不振、气促。伴有发热、轻咳。无咯血、呕血、黑便。尿色正常。查体:P 150次/min,R 40次/min,重度贫血貌,第一次住院时巩膜略黄染,双肺呼吸音清或有散在痰鸣音,肝脾无肿大。
Misdiagnosis of pulmonary hemosiderosis in 1 case as follows. 1 medical record summary female, 14 months old. Attack due to anemia 4 months, repeatedly hospitalized 3 times. The incidence of each interval of 1 to 2 months. Are manifested as progressive anemia, fatigue, sluggishness, shortness of breath. Accompanied by fever, light cough. No hemoptysis, hematemesis, melena. Urine color normal. Physical examination: P 150 times / min, R 40 times / min, severe anemia, the first hospital slightly yellowish sclera, lung breath sounds clear or scattered sputum sound, no swelling of the liver and spleen.