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患者,男,23岁,因头昏乏力面色苍白3个月住本院。经血象和骨髓象检查诊断为难治性贫血(RA),给予Vit B_6 600mg/H,静脉滴注40天,Hb上升至100g/L,住院两月,患者症状消失。出院5个月后因症状复发再次住院。体检:重度贫血貌,两肺阴性,心率86次/分,心尖区闻及Ⅱ级SM,肝脾肋下未及,实验室检查:血象示WBC6.2×10~9/L,Hb 64g/L,BPC 90×10~9/L,Ret0.006。骨髓象:有核细胞增生明显活跃,粒红比例2.6:1,粒系0.68,有轻度核浆发育不平衡,红
The patient, male, 23 years old, lived in hospital for 3 months due to dizzy and weakness. The diagnosis of anemia of refractory anemia (RA) by blood and bone marrow examination, Vit B_6 600mg / H, intravenous infusion of 40 days, Hb rose to 100g / L, hospitalized for two months, the patient symptoms disappeared. Five months after discharge due to recurrence of symptoms hospitalized. Physical examination: severe anemia appearance, both lungs negative, heart rate of 86 beats / min, apex area smell and Ⅱ SM, liver and spleen rupture, laboratory tests: blood showed WBC6.2 × 10 ~ 9 / L, Hb 64g / L, BPC 90 × 10 ~ 9 / L, Ret0.006. Bone marrow: nucleated cell proliferation was significantly active, the proportion of 2.6: 1 flesh, grain line 0.68, with mild nuclear plasma imbalance, red