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溶血性贫血为临床所常见,溶血危象系溶贫的严重表现。随溶血性贫血发病率的增加,激发危象的诱因不断增多,因而近年来溶血危象也屡见不鲜,易于引起临床上误诊,如不及时抢救或处理不当,即能招致严重后果,甚至危及患者生命,必须予以重视和警惕。本文就危象本质并与临床联系,作一简要讨论,借以提高认识。一、机理与诱因.当一旦发生急性溶血的过程,即大量溶血时,除贫血加重、黄疸减轻、血胆红素下降、网织红细胞减少外,而骨髓功能呈急件或暂时停滞,特别有核红细胞锐减,同时也
Hemolytic anemia is clinically common, hemolysis crisis is a serious manifestation of poverty. With the increase of incidence of hemolytic anemia, the incentive to stimulate the crisis continues to increase, so hemolysis crisis in recent years are not uncommon, easily lead to clinical misdiagnosis, if not timely rescue or improper handling, which can lead to serious consequences, and even endanger the lives of patients , Must be given attention and vigilance. In this paper, the nature of crisis and clinical contact, make a brief discussion, in order to raise awareness. First, the mechanism and incentives. In the event of acute hemolysis, when a large number of hemolysis, in addition to increased anemia, jaundice, decreased serum bilirubin, reticulocyte reduction, and bone marrow function was urgent or temporarily stagnant, especially with nuclear Red blood cells dropped sharply at the same time