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一种T细胞特殊亚群大颗粒淋巴细胞(LGL)慢性持续性增生所致Tr淋巴细胞增殖病(Tr-LPD)并抗人球蛋白试验阴性的自身免疫溶血性贫血较为罕见,现将我们收治的一例报道如下. 患者男,42岁,农民,因反复感染和发热三年,头晕、乏力及心悸5个月而入院.体格检查:中度贫血貌,全身浅表淋巴结有不同程度肿大,胸骨中下端压痛明显,心肺正常,肝肋下4.0cm处质中软,脾甲乙线6.0cm,丙丁线8.0cm,戍己线7.5cm.
An autoimmune hemolytic anemia that is negative for Tr-lymphocyte proliferation (Tr-LPD) due to chronic persistent hyperplasia of large T-cell large subpopulation large granulocytes (LGL) and anti-human globulin test is relatively rare Male, 42 years old, farmer, admitted to hospital for repeated infection and fever for three years, dizziness, fatigue and palpitations for 5 months Physical examination: moderate anemia, systemic superficial lymph nodes have varying degrees of enlargement, Sternal mid-lower tenderness, normal heart and lung, hepatic ribs under the 4.0cm quality soft, spleen A line 6.0cm, Ding Ding line 8.0cm, Shu line 7.5cm.