原发性血小板减少性紫癜并发获得性溶血性贫血,又称Evans氏综合征。本院曾见到一例,报告为下: 患者朱某,女,39岁,1978年4月28日因血尿、牙及皮下出血二月余入院。自诉1974年开始,经常有头昏、头痛、乏力、小便深红色。检查轻度贫血。1977年2月解鲜红色血样尿,有恶心、多汗、昏倒,急送当地医院住院治疗,输血1,200ml。当时伴有牙出血,双下肢有散在性出血点,大便解血样,治疗无明显好转而转来我院。体检:37.3℃,慢性贫血病容。眼巩膜及皮肤轻度黄染。肺部未见异常,心尖部可闻 Primary thrombocytopenic purpura complicated with acquired hemolytic anemia, also known as Evans’s syndrome. The hospital has seen an example, the report is as follows: Zhu patients, female, 39 years old, April 28, 1978 due to hematuria, teeth and subcutaneous bleeding in February more than admission. Prosecution Since 1974, often dizziness, headache, fatigue, dark red urine. Check mild anemia. 1977 February solution of red blood sample urine, nausea, sweating, fainting, emergency hospital delivery in the local hospital, blood transfusion 1,200ml. At that time accompanied by dental bleeding, both lower extremity scattered hemorrhage, stool Xie Xie, no significant improvement in treatment and transferred to our hospital. Physical examination: 37.3 ℃, chronic anemia disease capacity. Eye sclera and skin mild yellow dye. No abnormal lungs, apex can be heard