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患儿,女,12岁,反复鼻衄1年伴进行性面色苍白2周入院。10月前在本院确诊为再生障碍性贫血。体检,BP14.1/7.2kPa,贫血貌,面部皮肤见少量淤点,全身浅表淋巴结未触及,心肺(一)肝脾未触及,神经系统检查正常。实验室检查:RBC1.75×10~(12)/L,Hb50g/L,Ret0.06,WBC2.4×10~9/L,中性0.77,淋巴细胞0.22,晚幼红0.01,BPC30×10~9/L,骨髓象增生减低,粒:红=0.9:1,粒系统0.26,红系统0.29,全片未见巨核细胞,淋巴细胞0.40,骨髓细胞外铁(-),
Children, female, 12 years old, repeated epistaxis 1 year with progressive pale 2 weeks admitted. Aplastic anemia was diagnosed in our hospital 10 months ago. Physical examination, BP14.1 / 7.2kPa, anemia, facial skin see a small amount of bruising, systemic superficial lymph nodes not touched, heart and lung (a) liver and spleen not touched, nervous system examination was normal. Laboratory tests: RBC1.75 × 10-12 / L, Hb50g / L, Ret0.06, WBC2.4 × 10-9 / L, neutral 0.77, lymphocytes 0.22, late young red 0.01, BPC30 × 10 ~ 9 / L, bone marrow hyperplasia reduced, grain: red = 0.9: 1, grain system 0.26, red system 0.29, the whole piece no megakaryocytes, lymphocytes 0.40, bone marrow extracellular iron (-),