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男性,学生,19岁(57649).因反复鼻衄,皮肤紫癜和贫血1个月于1983年4月入院。体检:浅表淋巴结及肝脾均未触及,胸骨无叩击痛。实验室检查:Hb40g/L,WBC2.2×10~9/L.L54%,BPC3.5×10~(10).网织红细胞0.2%.肝肾功能正常,酸溶血试验(-).骨髓像;增生重度减低,淋巴细胞63%,巨核细胞全片未见.血小板少见,骨髓小粒中均为非造血细胞,确诊为再生障碍性贫血(再障),经输血、硝酸士的宁及中药等治疗后,Hb 升至65g/L.半年后病情加重,但经两次骨穿仍诊断为再障.1985年11月,因鼻衄不
Male, Student, 19 years old (57649) Admitted to hospital in April 1983 due to repeated epistaxis, skin purpura and anemia. Physical examination: superficial lymph nodes and liver and spleen are not touched, sternum percussion pain. Laboratory tests: Hb40g / L, WBC2.2 × 10 ~ 9 / L.L54%, BPC3.5 × 10 ~ (10). Reticulocyte 0.2%. Liver and kidney function normal, acid hemolysis test Like; severe reduction of hyperplasia, lymphocyte 63%, megakaryocyte whole piece was not seen. Platelet rare bone marrow granulation are non-hematopoietic cells, diagnosed with aplastic anemia (aplastic anemia), transfusion, nitric acid Ning and Chinese medicine After treatment, Hb rose to 65g / L. After six months the condition worsened, but still diagnosed by two bone wear aplastic anemia .In November 1985, due to epistaxis