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患者女,3岁。于1991年3月因颈部有一花生米大小肿块手术切除。术后10天发现原肿物旁有一类似肿物,再次手术.术后经常发热。查体:发现贫血,脾肿大给血及抗生素治疗20余日,脾肿大消失,贫血好转而出院。同年9月,其父母又发现患儿脾肿大,查体贫血貌,心肺(-),肝肋下5cm,脾肋下4cm,质中等。血色素60g/L.血小板70×10~9/L,网织红细胞8%,骨髓检查,红系增生明显活跃,支持溶贫。血培养有金葡菌生长。 HBSAgl:64,入院后按①自身免疫性贫血,②金葡菌败血症。③乙肝病毒携带者给抗生素(新青Ⅰ,氨基苄)激素及对症治疗一月余。查体:血色素100g/L,血小板100×10~9/L,网织红1.5%.髓象红系
Female patient, 3 years old. In March 1991 due to neck peanut size tumor resection. 10 days after the original tumor found a similar tumor, re-operation. Physical examination: anemia, splenomegaly and antibiotic treatment of more than 20 days, splenomegaly disappeared, anemia improved and discharged. In September of the same year, his parents also found that children with splenomegaly, check anemia appearance, cardiopulmonary (-), hepatic ribs 5cm, spleen ribs 4cm, medium quality. Hemoglobin 60g / L. Platelets 70 × 10 ~ 9 / L, reticulocyte 8%, bone marrow examination, erythroid hyperplasia significantly active, support for the poor. Staphylococcus aureus blood culture growth. HBSAgl: 64, after admission by ① autoimmune anemia, ② Staphylococcus aureus septicemia. ③ hepatitis B virus carriers to antibiotics (Ivy, aminobenzyl) hormone and symptomatic treatment more than a month. Physical examination: hemoglobin 100g / L, platelets 100 × 10 ~ 9 / L, reticulocyte red 1.5%. Medullary red line