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本文报道1例44岁男性患者,为预防前列腺炎而自行服葡萄糖酸锌,每天200-300mg达2年之久,近期出现乏力及咽喉痛来院就诊。实验室检查白细胞总数为2000/μl,中性分叶核6%,淋巴细胞78%,单核细胞及嗜酸粒细胞分别为7%,血红蛋白9g/dl,血细胞容积25.7%,网织红细胞0.2%,血小板352000/μl。血涂片示红细胞轻度大小不均及异形,骨髓形态学检查发现早期的幼粒及幼红细胞的胞浆中空泡明显,并见到很多的环状铁粒幼细胞。血清锌为
This article reports a 44-year-old male patient, to prevent prostatitis and their own service of zinc gluconate, 200-300mg daily for 2 years, the recent emergence of fatigue and sore throat to the hospital. Laboratory tests showed that the total number of leukocytes was 2000 / μl, neutral lobe 6%, lymphocytes 78%, monocytes and eosinophils 7%, hemoglobin 9g / dl, hematocrit 25.7%, reticulocyte 0.2 %, Platelet 352000 / μl. Blood smear showed mild heterogeneity and irregular shape of red blood cells. Morphological examination of bone marrow showed that there were obvious vacuoles in the cytoplasm of early young and young erythrocytes, and a lot of annular mitochondria were observed. Serum zinc is