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遗传性球形红细胞增多症(HS)通常是常染色体显性遗传,但有的病人常无家族史,特别在新生儿时期,当球形红细胞形态不典型时,会给诊断和处理带来困难,误诊为ABO溶血、自身免疫性溶血性贫血和白血病。临床医生应记住,即使无家族史,也不能排除本病之可能。作者回顾性总结了从1967~1979年英格兰两个儿童医院50例HS,其诊断标准有三:(1)贫血伴网织红细胞增高;(2)血涂片有小球形红细胞增多;(3)红
Hereditary spherocytosis (HS) is usually autosomal dominant inheritance, but some patients often have no family history, especially in neonatal period, when the atypia of spherical red blood cells, it will give the diagnosis and treatment of the difficulties, misdiagnosis For ABO hemolysis, autoimmune hemolytic anemia and leukemia. Clinicians should remember that even without a family history, they can not rule out the possibility of this disease. The authors retrospectively reviewed 50 HS cases from two children’s hospitals in England from 1967 to 1979 with three diagnostic criteria: (1) increased anemia associated with reticulocytes; (2) increased hemoglobocytosis in blood smears; (3) red