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患者,男,74岁。因患贫血1年,经多方治疗病情无好转,贫血逐渐加重,于1998年3月2日入院。患者1年前开始出现面黄气喘、乏力、头晕,并逐渐加重,曾到多家医院按缺铁性贫血长期多方治疗,贫血仍继续加重。治疗期间曾输全血8次共2400ml。 体格检查:体温37.5℃,血压200/14.7kPa慢性病容,重度贫血貌,口唇苍黄、倦怠、发育营养差、消瘦、皮肤粘膜无黄染及出血点,浅表淋巴结不大,两肺呼吸音清,心率100次/min,心尖区Ⅱ级收缩期杂音,肝剑下1cm,软,无压痛,脾肋下1cm。患者既往健康,有烟酒嗜好。
Patient, male, 74 years old. Due to anemia for 1 year, his condition was not improved after multiple treatments, and anemia gradually worsened. He was admitted to hospital on March 2, 1998. The patient began to suffer from yellowing and asthma, fatigue, dizziness, and aggravation gradually a year ago. She had been to many hospitals for long-term treatment of iron deficiency anemia, and anemia continued to increase. During the treatment, he had lost 8 blood to 2400 ml. Physical examination: body temperature 37.5 °C, blood pressure 200/14.7 kPa chronic disease, severe anemia, yellow lips, burnout, poor nutrition, weight loss, skin and mucous membranes without yellow stain and bleeding, shallow lymph nodes, lung sounds clear Heart rate 100 beats/min, apical systolic murmur in the apical region, 1 cm below the liver, soft, no tenderness, splenic ribs 1 cm. The patient was formerly healthy and had tobacco, alcohol, and tobacco habits.