病案摘要: 患者,女,57岁,于1991年2月17日第八次入院。主诉:纳差、乏力十年,加重三年。咳嗽发热三天。现病史:十年前无诱因出现纳差、乏力、口干,并出现牙齿脱落。曾在某医院诊为“慢性肝炎”。近三年乏力、纳差加重,并伴有心悸;反复因肺部感染及胸膜炎住院治疗。持续存在较严重贫血,血色素最低为30克/升,最高时未超过80克/升,三天前因咳嗽、低热再次入院。病后口千、吞咽困难、视物模糊。体 Case Summary: Patient, female, 57 years old, was admitted for the eighth time on February 17, 1991. Chief Complaint: Anorexia, ten years of weakness, aggravating three years. Cough fever for three days. Current history: Ten years ago, there was no incentive for anorexia, fatigue, dry mouth, and tooth loss. In a hospital diagnosed as “chronic hepatitis.” Nearly three years of fatigue, worsened anorexia, accompanied by palpitations; repeated hospitalizations for pulmonary infection and pleurisy. Persistent severe anemia, hemoglobin minimum 30 g / l, the highest did not exceed 80 g / l, three days ago due to cough, fever and re-admission. Sick throat, dysphagia, blurred vision. body