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作者研究了39例特发性自身免疫性溶血性贫血((?))病人,其中29例处于疾病进展期,10例于临床-血液学代偿期。进展期病人年龄15-68岁,病程5.2±1.3个月,女性多于男性。Hb 60±2.2g/L,红细胞1.8±0.14×10~(12)/L,网织红细胞85±20‰。血清总胆素78.6±13.6μmol/L,游离胆红素64.9±11.9μmol/L。24例(82.8%)Coombs直接试验阳性,其中22人无论多价抗球蛋白血清((?)),还是同类特异抗血清均阳性,2例多价(?)阴性,但抗IgG血清阳性,5例(17.2%)无论(?)还是抗IgG、IgA、IgM同类特异血清Coomos直接试验均阴性。这
The authors studied 39 patients with idiopathic autoimmune hemolytic anemia (?), Of whom 29 were in disease progression and 10 were clinically-hematologically compensated. Progressive patients aged 15-68 years, duration of 5.2 ± 1.3 months, more women than men. Hb 60 ± 2.2g / L, erythrocytes 1.8 ± 0.14 × 10-12 / L, reticulocytes 85 ± 20 ‰. Serum total cholesterol 78.6 ± 13.6μmol / L, free bilirubin 64.9 ± 11.9μmol / L. Twenty-four patients (82.8%) were positive for Coombs direct test. Twenty-two of them were positive for multivalent antiglobulin serum (?), Or allospecific antisera were positive, two were multivalent (?) Negative but anti-IgG seropositive, All 5 cases (17.2%) were negative for Coomos direct test, regardless of (?) Or anti-IgG, IgA, IgM congeneric specific serum. This