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患者女,18岁,工人,因发热、腹泻、哝血便二天,伴酱油色尿一天于1977年入院。1972年,患者因苍白、乏力、紫癜年余首次住院。当时查血红蛋白4.4克,红细胞100万,白细胞6400—2750,血小板2.1万,网织红细胞2.4%。骨髓增生活跃,粒、红系无明显减少,淋巴细胞稍多,片中见较多的组织嗜硷细胞和浆细胞,全片偶见巨核细胞,血小板明显减少。二次尿Rous 氏试验阴性,二次Ham 氏试验阴性诊断为再生障碍性贫血。五年来一直按再障治疗,用过强的松、睾丸酮、士的宁和中药。贫血获改善(Hb 可达8克以上),白细胞、小血板仍少。患者无化学毒物或放射线接触史。
Female patient, 18 years old, worker, due to fever, diarrhea, bloody two days, with soy sauce color urine one day admitted in 1977. In 1972, patients due to pale, fatigue, purpura more than the first hospitalization. At that time check the hemoglobin 4.4 grams, 1 million red blood cells, white blood cells 6400-2750, 21000 platelets, reticulocytes 2.4%. Bone marrow hyperplasia, granule, erythroid no significant reduction, slightly more lymphocytes, see the more tissue cells and plasma cells alkaline cells, occasionally megakaryocytes occasionally, platelets decreased significantly. Secondary urine Rous’s test was negative, secondary Ham’s test negative diagnosis of aplastic anemia. Over the past five years has been treated by aplastic anemia, used prednisone, testosterone, strychnine and Chinese medicine. Anemia was improved (Hb up to 8 grams or more), white blood cells, small blood clots are still less. Patients have no history of chemical poison or radiation exposure.