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作者遇到1例因垂体前叶腺瘤误诊为缺铁性贫血的患者,现报道如下: 患者男,19岁,学生,因头晕、乏力、面黄、消瘦,进行性加重2年余,于1989年3月18日入院。患者2年来,纳差,乏力,嗜陲,怕冷,注意力不集中,日渐消瘦,偶有腹泻,稀黄色便,伴脐周疼痛,1小时左右自行缓解。小便正常。平素有偏食习惯,曾在地市人民医院作过三大常规和骨髓象等多项检查,均诊为“缺铁性贫血,”给以铁剂、维生素类药物和输血治疗,始终未见明显好转。入院前2月,贫血症状明显加重,体质急骤衰弱,且终日不思饮食,懒言少动,故来我院诊治。体检:发育不良,毛发枯黄,重贫血貌,身长150cm,体重31公斤。心肺(-),肝脾触
The author encountered a case of anterior pituitary adenoma due to misdiagnosed as iron deficiency anemia patients, are reported as follows: Male patient, 19 years old, due to dizziness, fatigue, face yellow, weight loss, progressive increase of more than 2 years, at March 18, 1989 admission. Patients 2 years, the anorexia, fatigue, addicted, cold, inability to concentrate, getting thinner, occasional diarrhea, thin yellow will be, with umbilical pain, about 1 hour to ease themselves. Normal urine. There is always a partial eclipse habits, had in the city People’s Hospital made three major and bone marrow and other tests, were diagnosed as “iron deficiency anemia,” to iron, vitamin drugs and transfusion therapy, and no obvious Better. In February before admission, the symptoms of anemia were obviously aggravated, the physique was suddenly weak, and all day did not think diet, lazy to speak less, so I came to our hospital for diagnosis and treatment. Physical examination: dysplasia, brown hair, heavy anemia, body length 150cm, weight 31 kg. Cardiopulmonary (-), liver and spleen touch