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一、病史特点与诊断例1,病史特点:①青年女性。②病程长达10年。③反复出现鼻衄,皮肤瘀点及进行性贫血。④无浅表淋巴结及肝脾肿大。⑤全血细胞减少。⑥骨髓增生活跃,以红系增生为主,红系病态造血明显,表现为中晚幼红细胞增高,巨幼样变,豪周小体,双核红细胞,靶状红细胞,多染红细胞等。⑦骨髓铁染色,外铁(+++),内铁(+)47％,(++)19％,(+++)3％;成熟红细胞可见铁颗粒。⑧一般抗贫血治疗效
First, the history of the characteristics and diagnosis of cases 1, history features: ① young women. ② duration of up to 10 years. ③ recurring epistaxis, skin petechia and progressive anemia. ④ no superficial lymph nodes and hepatosplenomegaly. ⑤ pancytopenia. ⑥ active bone marrow hyperplasia, mainly erythroid hyperplasia, erythrocytic morbidly hematopoietic manifestations of the performance of middle-late increased erythroblasts, giant juvenile change, ho week body, binucleated erythrocytes, target-like red blood cells, multiple red cells and so on. ⑦ bone marrow staining, iron (+++), iron (+) 47%, (++) 19%, (+++) 3%; mature red blood cells visible iron particles. ⑧ general anti-anemia treatment effect