病历摘要:患者,女,18岁。1982年1月6日入院。1年前发现面色发黄,口唇、指甲苍白,但能坚持工作。20天前自觉乏力伴双侧指、趾发凉发麻,食欲及大小便正常。无呕血、黑便及酱油尿史。4年来每年冬季指趾末端及耳廓冻伤,至春季痊愈。月经未来潮。查体:体温37.3～38℃,脉搏100,呼吸25,血压110/70。慢性贫血貌,皮肤巩膜轻度黄染。左 Medical record summary: Patient, female, 18 years old. January 6, 1982 admission. A year ago found pale complexion, lips, nails pale, but can keep working. 20 days ago fatigue with both sides of the fingers, toes hair cold numb, appetite and normal urine. No hematemesis, melena and soy sauce urine history. In the past four years, the annual winter toe end and auricular frostbite, until the spring cured. Menstruation future tide. Physical examination: body temperature 37.3 ~ 38 ℃, pulse 100, breathing 25, blood pressure 110/70. Chronic anemia, skin scleral mild yellow dye. left