47,XYY/45,X嵌合体比较少见,但自60年代以来国外Jacobs、Cooper、Trowell及Mulcby等曾先后报道。我国丘建春等和刘希贤等分别于1981年和1983年各报告1例,均为女性表型之真两性畸形。我们于1984年3月发现1例为男性表型之不育症,现摘要报告如下。病例报告祁××,男,30岁,已婚,于1984年3月16日因“鱼胆中毒合并急性肾功能衰竭”由当地医院转来我院诊治。入院后经给予大剂量速尿、氢化泼尼松和调节酸碱、水盐平衡等治疗,尿常规、肾功能于7天后恢复正常。患者于2岁时被发现“右侧面神经瘫”。少年时曾患“急性传染性肝炎”及“急性肾炎”,均巳治愈。平时性格内向、温和,无不轨行为,智力发育正常。结婚近3年,未育。性生活正常,女方经妇科检查未发现不孕病因。1983年5月患者经他院行精液检查无精子,1983年10月行睾丸活 47, XYY / 45, X chimera is relatively rare, but since the 1960s foreign Jacobs, Cooper, Trowell and Mulcby et al has reported. Our country Qiu Jianchun et al. And Liu Xixian et al. Respectively reported 1 case in 1981 and 1983 respectively, all of which are true hermaphroditism of female phenotype. We found in March 1984 one male infertility phenotype, the summary is now reported as follows. Case report Qi × ×, male, 30 years old, married, on March 16, 1984 due to “fish poisoning combined with acute renal failure” transferred from the local hospital to our hospital for diagnosis and treatment. After admission to give high-dose furosemide, prednisolone and regulate acid-base, water and salt balance treatment, urinary routine, renal function returned to normal after 7 days. The patient was found “right facial paralysis” at 2 years of age. Had adolescents suffering from “acute infectious hepatitis” and “acute nephritis”, have been cured. Usually introverted, gentle, non-derailed behavior, mental development is normal. Married for nearly 3 years, not fertile. Sexual life is normal, the woman found no cause of infertility by gynecological examination. May 1983 patients by his hospital sperm examination without sperm, October 1983 line of testicular activity