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病历摘要男性,50岁,干部,已婚,汉族。因头昏、乏力、纳差伴面黄二年半于1981年11月26日入院。患者于二年半前感到乏力、头昏、纳差、面色发黄至当地医院检查,发现血红蛋白8g,血小板6.6万,诊断为缺铁性贫血,给以铁剂治疗,疗效不佳。起病10个月后症状加重,血红蛋白渐降为6.5g,转某院用大量激素治疗(地塞米松9mg/日)血红蛋白迅速上升,曾高达13～14g,拟诊为后天性自身免疫性溶血性贫血(AIHA)。后因激素副作用大而减量,加用硫唑嘌吟(150mg/日)治疗,血红蛋白稳定在11g,红细胞393万,白细胞7250,血小板4.8万,网织细胞1.8％,病情部分缓解出院。以后地塞米松减为0.75mg/日,血红蛋白又降为6g,再次住院,仍用大剂量激素治疗,
Medical record summary Male, 50 years old, cadre, married, Han nationality. Due to dizziness, fatigue, anorexia accompanied by yellow two and a half years in November 26, 1981 admission. Patients feel weakness, dizziness, anorexia, pale yellow to the local hospital for examination two and a half years ago, found that hemoglobin 8g, platelets 66,000, diagnosed as iron deficiency anemia, given iron treatment, poor efficacy. 10 months after onset of symptoms, hemoglobin decreased to 6.5g, turn a hospital with a large number of hormones (dexamethasone 9mg / day) hemoglobin increased rapidly, had as high as 13 ~ 14g, to be diagnosed as acquired autoimmune hemolytic Anemia (AIHA). After hormone side effects due to large and reduced, plus azathioprine (150mg / day) treatment, hemoglobin stabilized at 11g, 393,000 erythrocytes, white blood cells 7250, 48,000 platelets, reticular cells 1.8%, the disease partially relieved discharge. After dexamethasone reduced to 0.75mg / day, hemoglobin dropped to 6g, again hospitalized, still using high-dose hormone therapy,