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病例:男性,63岁,汉族。1980年出现头晕、乏力,在某医院诊断为贫血,经叶酸、维生素 B_(12)、铁剂治疗无效,间断输AB 型血1200ml,无输血反应。1990年9月24日因贫血而入院。体检:重度贫血貌,皮肤巩膜无黄染,心肺未见异常,肝肋下2cm,脾肋下10cm。实验室检查:Hb37g/L,RBC1.0×10~(12)/L,网织红细胞30×10~9/L,WBC1.3×10~9/L,血小板16×10~9/L,骨髓象诊断:骨髓异常增生综合征。治疗经过:入院次日输 AB 型血300ml,
Case: Male, 63 years old, Han nationality. 1980, dizziness, fatigue, anemia diagnosed in a hospital, with folic acid, vitamin B_ (12), iron treatment ineffective, intermittent blood type AB blood loss 1200ml, no transfusion reaction. September 24, 1990 due to anemia and hospitalization. Physical examination: severe anemia appearance, sclera no yellow dye, no abnormal heart-lung, liver ribs 2cm, spleen ribs 10cm. Laboratory tests: Hb37g / L, RBC1.0 × 10-12 / L, reticulocyte 30 × 10-9 / L, WBC1.3 × 10-9 / L, platelet 16 × 10-9 / L, Diagnosis of bone marrow: bone marrow dysplasia syndrome. After treatment: the day after admission lost AB type blood 300ml,