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成人纯红细胞再生障碍性贫血(纯红再障)是一种少见的疾病,本院近来收治1例,以达那唑口服治疗取得缓解11个月,报告如下。 患者女,62岁,退休职工。因面色进行性苍白伴头晕乏力加重2个月,晕厥1次于1991年9月9日收住院。以往有不规则服用降压药史。体检:Bp13.9/8.9kPa,重度贫血貌,巩膜无黄染,皮肤无出血点,浅表淋巴结未及肿大,胸骨无压痛,心肺听诊正常,腹软,肝肋下未及,脾肋下1.0cm,质中。实验室检查:Hb38g/L,WBC4.8×10~9/L,血小板数137×10~9/L,网织红细胞0.002,尿常规WBC11/HP,脓球+/HP肝肾功能正常,蛋白电泳:γ—球蛋白0.26,ESR65mm/h,乙肝三系(一),Coombs试验(一),Ham试验及糖水试验(一),RF、ANA、A-dsDNA(一),IgGl6.7g/L,IgA1.7g/L,IgM2.5g/L,淋巴细
Adult pure red cell aplasia (pure red aplastic anemia) is a rare disease, our hospital recently admitted in 1 case, with oral administration of danazol obtained remission 11 months, the report is as follows. Female patient, 62 years old, retired worker. Progressive pale complexion with dizziness due to aggravate 2 months, syncope 1 in September 9, 1991 admitted to hospital. In the past there is irregular taking antihypertensive drug history. Physical examination: Bp13.9 / 8.9kPa, severe anemia appearance, sclera no yellow dye, no bleeding on the skin, superficial lymph nodes without enlargement, no tenderness in the sternum, normal cardiopulmonary auscultation, abdominal softness, Under 1.0cm, quality. Laboratory tests: Hb38g / L, WBC 4.8 × 10 ~ 9 / L, platelet count 137 × 10 ~ 9 / L, reticulocytes 0.002, urine routine WBC11 / HP, Electrophoresis: γ-globin 0.26, ESR65mm / h, Hepatitis B triad (1), Coombs test 1, Ham test and sugar water test 1, RF, ANA, A-dsDNA , IgA1.7g / L, IgM2.5g / L, lymphocytes