论文部分内容阅读
自身免疫性溶血性贫血(AIHA),在小儿时期较少见,近来我科收治3例温抗体型自身免疫性溶血性贫血,报道如下。例1,男,10岁。主因面色苍黄1年,加重1个月于1991年5月入院。患儿于入院前1年开始反复腹泻、发热、面色渐苍黄、茶色尿、疲乏无力,经用抗生素控制腹泻后,病情稍好转。一个月前再次发热腹泻、面色苍黄加重,伴呕吐、腹痛、腰痛及酱油色尿。查体:皮肤巩膜黄染,两肺呼吸音清,心率90次,心尖部闻及Ⅱ级收缩期吹风样杂音,肝肋下1cm,剑下2cm,脾肋下5cm。血象:Hb52g/L,WBC3.2×10~9/L,N60%L40%,Ptc100×10~9/L,Ret35%,血片及
Autoimmune hemolytic anemia (AIHA), less common in infancy, recently admitted to our department 3 cases of warm-type autoimmune hemolytic anemia, are reported below. Example 1, male, 10 years old. Mainly pale yellow for 1 year, an increase of 1 month in May 1991 admitted. Children with recurrent diarrhea 1 year before admission, fever, looking gradually pale yellow, brown urine, tired and weak, controlled by antibiotics after diarrhea, the condition slightly better. A month ago again fever diarrhea, pale yellow complexion, with vomiting, abdominal pain, back pain and soy sauce color urine. Physical examination: skin sclera yellow dye, lung breath sounds clear, heart rate 90 times, apical smell and Ⅱ grade systolic hair-like murmur, hepatic ribs 1cm, 2cm under the sword, spleen rib 5cm. Blood: Hb52g / L, WBC3.2 × 10 ~ 9 / L, N60% L40%, Ptc100 × 10 ~ 9 / L, Ret35%, blood and