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患者,女,52岁,广东籍,因全身乏力、头昏、进行性贫血30年而就诊。患者30年前感乏力。头昏,血色素在58～72g/L之间。60年代肝脾肿大,拟诊为“慢性肝炎、肝硬化”,一直应用护肝药物至今,但自觉症状无减轻,贫血进行性加重,脾脏渐增大。入院查体:贫血外观,巩膜无黄染,皮肤未见出血点及蜘蛛痣,浅表淋巴结未扪及,心肺
Patients, female, 52 years old, Guangdong nationality, due to malaise, dizziness, anemia of 30 years and treatment. 30 years ago, patients with fatigue. Dizziness, hemoglobin in 58 ~ 72g / L between. 60 years of hepatosplenomegaly, to be diagnosed as “chronic hepatitis, cirrhosis,” has been the application of hepatoprotective drugs, but no reduction in symptoms, anemia progressive increase in spleen. Admission examination: anemia appearance, sclera no yellow dye, the skin no bleeding and spider nevus, superficial lymph nodes not palpable, heart and lung