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阵发性睡眠性血红蛋白尿(简称 PNH)并发脑血管病者在国内较少见,我院遇到1例现报告如下。患者女,37岁。于1987年10月12日无明显诱因出现间断性晨起酱油样尿,每月发作1~2次,每次持续1~2天,当时未引起注意。约半年后月经量增加、面色苍白,乏力,每于感冒、劳累后出现酱油样尿,每次持续2~3天。化验:RBC2.16×10~(12)/L、Hb 50g/L、WBC 5.1×10~9/L、Ptc 59×10~9/L、Ret7%。
Paroxysmal nocturnal hemoglobinuria (PNH) complicated by cerebrovascular disease are rare in the country, our hospital encountered a case report is as follows. Female patient, 37 years old. On October 12, 1987 there was no obvious incentive intermittent morning sick soy sauce-like urine attack 1 to 2 times per month, each lasting 1 to 2 days, then did not pay attention. About six months after the increase in menstrual flow, pale, weak, for every cold, exertion after soy sauce-like urine, each lasting 2 to 3 days. Assay: RBC2.16 × 10-12 / L, Hb 50g / L, WBC 5.1 × 10-9 / L, Ptc 59 × 10-9 / L, Ret7%.