1 病历摘要 患儿:龚××,男,9岁,因面色苍白3年,加重一年入院。3年前,无明显诱因面色苍白、神差。当地医院按贫血,肝炎治疗无好转。来院以“贫血待诊”收住院,病程中无恶心、冒酸、腹痛症状,未解黑便,脚未生过“粪泡”。 查体:T.R.P BP均正常,发育可,神清,全身皮肤无黄染,浅表 淋巴结不大,面色苍白,眼睑结膜、耳垂、 1 medical records summary children: Gong × ×, male, 9 years old, pale for 3 years, increased one year admission. 3 years ago, no obvious incentive pale, poor. Local hospital by anemia, hepatitis treatment without improvement. To the hospital to “anemia to be diagnosed,” admitted to hospital, no nausea during the course of taking acid, abdominal pain, unsolved melena, feet have not been born, “manure bubble.” Physical examination: T.R.P BP are normal, development can be, Shen Qing, body skin without yellow dye, superficial lymph nodes, pale, eyelid conjunctiva, earlobe,