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患者女性,51岁。因胸闷、乏力、头晕,伴面部浮肿、脱发、肝肿大、贫血、粒细胞减少3个月,EKG:Ⅲ·A-VB。外院诊断病毒性心肌炎,曾用扩血管药及强的松30mg/日,治疗2个月无效。于1986年12月12日入本院。入院体检:神清,表情淡漠,贫血面容,甲状腺不大,心界不大,心率50次、规则、有大炮音,两肺(-),肝肋下2cm、剑突下3cm,边缘钝,足背动脉搏动好,头发较干燥,有斑秃。实验室检查:血红蛋白9.5g,红细胞315万,白细胞1,950,嗜酸粒细胞55％,淋巴细胞42％,网织细胞0.8％。骨髓相:粒、红、巨核三系增生。尿蛋白(+)～(++,GPT44u,TTT正常,胆固醇317mg/dl,甘油三脂121mg/dl,血糖81mg/dl,BUN26mg/dl,
Patient female, 51 years old. Due to chest tightness, fatigue, dizziness, with facial edema, hair loss, hepatomegaly, anemia, neutropenia for 3 months, EKG: Ⅲ · A-VB. Outside the hospital diagnosis of viral myocarditis, vasodilators and prednisone 30mg / day, 2 months of treatment is invalid. December 12, 1986 into our hospital. Admission examination: Shen Qing, expression of indifference, anemia, thyroid, heart, heart rate 50 times, the rule, a cannon sound, lungs (-), liver ribs 2cm, xiphoid 3cm, Dorsalis pedis artery pulsation is good, the hair is dry, with alopecia areata. Laboratory tests: hemoglobin 9.5g, red blood cells 3.15 million, 1,950 leukocytes, eosinophils 55%, lymphocytes 42%, reticulocytes 0.8%. Bone marrow phase: grain, red, megakaryocyte triple hyperplasia. Urine protein (+) ~ (++, GPT44u, TTT normal, cholesterol 317mg / dl, triglyceride 121mg / dl, blood glucose 81mg / dl, BUN26mg / dl,