论文部分内容阅读
患女,3岁。为了驱虫误服硝氯酚1片(0.1g),5天后发高烧,伴非喷射性呕吐4～5次,排酱油色尿3天,乏力、多汗,在当地对症治疗无效来我院。查体:T:38℃,Bp90/50mmHg皮肤粘膜无黄染及出血点,心肺正常,肝脾未及。检验:血红蛋白45g/L,红细胞1.5×10~(12)/L,白细胞18×10~9/L,中性90%,淋巴10%,血小板10×10~9/L,网状细胞9.6%,成熟红细胞大小不等,呈异形及碎片状,红细胞脆性实验正常,Comb’s试验阳性,尿三胆阴性,骨髓增生活跃,粒:红=1.3:1红系统以晚幼红细胞为主。经输血、消炎对症治疗10天后,肝脏渐增大肋下3～5cm,肝功:麝浊9u,B超示肝脏弥漫性损
Female suffering, 3 years old. In order to deworming nitrofen 1 tablets (0.1g), 5 days after the high fever, with non-jet vomiting 4 to 5 times, row soy sauce color 3 days, fatigue, sweating, symptomatic treatment in the local ineffective to our hospital . Examination: T: 38 ℃, Bp90 / 50mmHg skin and mucous membrane without yellow dye and bleeding points, normal heart and lung, liver and spleen not yet. Tests showed that hemoglobin 45g / L, erythrocytes 1.5 × 10-12 / L, white blood cells 18 × 10-9 / L, neutral 90%, lymph 10%, platelets 10 × 10-9 / L, reticular cells 9.6% , Mature red blood cells ranging in size, showed irregular and fragmented, normal erythrocyte fragility test, Comb’s test positive, urine tricolor negative, active bone marrow hyperplasia, granule: red = 1.3: 1 red system mainly of late erythroblasts. After transfusion, anti-inflammatory symptomatic treatment of 10 days, the liver gradually increased ribs 3 ~ 5cm, liver function: musk deer 9u, B ultrasound showed diffuse loss of the liver