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患者男,20岁。住院号148166。患者头晕、乏力、全身出血点,于1979年10月11日在某院就诊,经血液及骨髓检查,诊断为再障。于同年11月份来我院,查体发现下肢紫斑、浅表淋巴结及肝、脾无肿大,胸骨无压痛。实验室检查:Hb45g/L,WBC3.0×10~9/L;N56％,L44％。血小板60×10~9/L。c0.4％,糖水试验(-),Coombs试验(直接与间接)(-)。骨髓检查:骨髓有核细胞增生低下,粒、红两系减少,粒系所见晚幼粒、杆状核及分叶核粒细胞,红系中、晚幼红少见,淋巴细胞、网状细胞及浆细胞比值增高,全片见巨核细胞(成熟型)2个,血小板少见,血片检查未见幼稚细胞,诊断为再障。给予丙酸睾丸酮、强的松及中药治疗。病情
Patient male, 20 years old. Hospital number 148166. Patients dizziness, fatigue, systemic bleeding point, on October 11, 1979 in a hospital for treatment, blood and bone marrow examination, diagnosis of aplastic anemia. In November the same year to our hospital, examination revealed lower extremity purple spots, superficial lymph nodes and liver, spleen no enlargement, no tenderness of the sternum. Laboratory tests: Hb45g / L, WBC3.0 × 10 ~ 9 / L; N56%, L44%. Platelets 60 × 10 ~ 9 / L. c0.4%, sugar water test (-), Coombs test (direct and indirect) (-). Bone marrow examination: low proliferation of bone marrow nucleated cells, grain, red two lines to reduce the grain line seen late promyelocytic, rod nucleus and leaf nucleated granulocyte, erythroid, late infancy rare, lymphocytes, reticulocytes And plasma cells increased the ratio of the whole film, see the megakaryocyte (mature type) 2, rare platelets, blood cells showed no immature cells were diagnosed as aplastic anemia. Give testosterone propionate, prednisone and Chinese medicine treatment. Condition