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本文报道一家族中发生5例遗传性球形红细胞增多症,并因感染而致溶血性危象发作。其中3例表现为“急性幼红细胞减少症”(1例骨髓象找到巨原红细胞)。入院后经输血、激素和抗菌素等治疗2周,溶血危象均获缓解。3例于入院前曾误诊为“黄疸型肝炎”。
This article reports a family of 5 cases of hereditary spherocytosis and hemolytic crisis due to infection. Three of them showed “acute erythroblastosis” (one bone marrow found giant megaloblastic cells). After admission by blood transfusion, hormones and antibiotics and other treatment for 2 weeks, hemolysis crisis were relieved. 3 cases were misdiagnosed as “jaundice hepatitis” before admission.