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该患者系男性,46岁。于1989年8月16日因黑便三天,低热虚弱而入院。血液化验:血比积18%,红细胞轻度大小不均,大便潜血阳性。连续4天输注红细胞共4个单位后血比积为24.1%。患者于9月2日感觉燥热、疲倦、眩晕,呕吐。随后出现盗汗、寒战、头痛、干咳、体温39.d℃。9月10日急诊检查:血比积39.3%,白细胞7400/μl,血小板5.6万/μl。血清总胆红素和乳酸脱氢酶升高,尿含血红素和胆红素。外周血涂片有豪厄氏——若利小体。大约20%的红细胞内有酷似巴贝虫形状的寄生小体。9月16日取血注射给Syriam 地鼠腹膜,在鼠红细胞内发现巴贝虫,随后在患者血清中检测到巴贝虫抗体(效价256)。复查献血员,发现8月17日供血者为无症
The patient is male, 46 years old. On August 16, 1989, he was admitted to the hospital for three days because of black senescence. Blood test: blood volume 18%, mild red blood cell size, positive fecal occult blood. After 4 consecutive days of transfusion of red blood cells in a total of 4 units of blood than the product was 24.1%. The patient feels hot, tired, dizzy and vomiting on September 2. Followed by night sweats, chills, headache, dry cough, body temperature 39.d ℃. September 10 emergency check-up: blood volume of 39.3%, white blood cells 7400 / μl, platelets 56000 / μl. Serum total bilirubin and lactate dehydrogenase increased urine heme and bilirubin. Blood smear Haoye - Joli body. About 20% of erythrocytes have parasitic bodies that resemble Babesia pests. On September 16, blood was injected into the peritoneum of Syriam hamsters to find Babesia in rat erythrocytes, followed by detection of Babesia antibodies in the patient serum (titer 256). Review blood donors and found that blood donors were asymptomatic on August 17