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患儿,女,10岁。因面色苍白、皮肤出血点半年,于1985年5月11日入院。病前无服用氯霉素及肝炎病史。体检:面色苍白,精神差,全身皮肤可见散在米粒大出血点,皮肤、巩膜无黄染,心肺肝脾未见异常。化验:血红蛋白59g/L,白细胞2.3×10~9/L,血小板24×10~9/L,网织红细胞0.4%,大便隐血(++),尿隐血阴性,酸溶血试验阴性,肝功正常,HBsAg阴性,骨髓涂片和骨髓活检符合再障。经中药治疗2月,常有牙龈出血、鼻衄及血尿,全身皮肤反复出现出血点及瘀斑,查血红蛋白20g/L,再次骨髓检查仍符合再障诊断。肝功正常,HBsAg阴性。服康力龙、利血生、沙酐醇,肌注胸腺素。因出血倾向明显,加用强的松。住院期间患儿反复低热,用抗生素后恢复正常。先后输
Children, female, 10 years old. Due to pale, skin bleeding for six months, on May 11, 1985 admitted. Before taking no history of chloramphenicol and hepatitis. Physical examination: pale, poor spirits, the body visible scattered skin scattered in the skin, sclera no yellow dye, no abnormal heart and lung liver and spleen. Assay: hemoglobin 59g / L, white blood cells 2.3 × 10 ~ 9 / L, platelets 24 × 10 ~ 9 / L, reticulocyte 0.4%, fecal occult blood (++), urine occult blood negative, acid hemolysis test negative, normal liver function , HBsAg-negative, bone marrow smear and bone marrow biopsy consistent with aplastic anemia. The Chinese medicine treatment in February, often bleeding gums, epistaxis and hematuria, systemic skin recurrence of bleeding and ecchymosis, check hemoglobin 20g / L, again bone marrow examination is still consistent with aplastic anemia diagnosis. Normal liver function, HBsAg negative. Serve the health of the dragon, Lee blood students, sand anhydride, intramuscular injection of thymosin. Obvious bleeding tendency, plus prednisone. Children during hospitalization repeated fever, with antibiotics returned to normal. Has lost