患者,女,50岁,反复巩膜黄染、头晕、乏力6年,加重2周入院。患者有自身免疫性溶血性贫血(Autoimmune hemolytic anemia,AIHA)病史6年,长期服泼尼松治疗,现停药2年。近2周患者感头晕、乏力症状加重,于2011年11月26日入院。体检:重度贫血貌,巩膜黄染,脾肋下末触及,WBC 4.8×109/L,Hb 28g/L,PLT 294×109/L,网织红细胞计数0.006,尿胆原阴性,总胆红素 Patients, female, 50 years old, repeatedly sclera yellow dye, dizziness, fatigue 6 years, increased 2 weeks admission. Patients with autoimmune hemolytic anemia (AIHA) history of 6 years, long-term treatment with prednisone, now discontinued for 2 years. In the past 2 weeks, the patient felt dizzy and his symptoms of fatigue worsened and was admitted on November 26, 2011. Physical examination: severe anemia, sclera yellow staining, distal splenic ribs, WBC 4.8 × 109 / L, Hb 28g / L, PLT 294 × 109 / L, reticulocyte count 0.006, urinary gallbladder negative, total bilirubin