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自身免疫性溶血性贫血(简称AIHA),是指体内产生抗红细胞抗体,通过免疫介导作用致使红细胞破坏,而引起的溶血性贫血。现将我院1978～1988年收治的临床资料完整的AIHA32例报道如下。病例选择与诊断标准凡符合AIHA诊断标准作为分析对象:①临床上有溶贫症状:贫血、黄疸、脾大等;②有溶血表现:血红蛋白下降、尿胆原增加、间接胆红素增加、网织红细胞计数明显增多、骨髓红系统增生活跃、粒/红比值下降等;③抗人球蛋白试验(Coomb’s试验)阳性;④肾上腺皮质激素治疗有效。
Autoimmune hemolytic anemia (referred to as AIHA), refers to the body produces anti-red blood cell antibodies, caused by immune-mediated destruction of red blood cells, which caused by hemolytic anemia. Now our hospital from 1978 to 1988 admitted clinical data complete AIHA32 cases are reported as follows. Case selection and diagnostic criteria Where AIHA diagnostic criteria as the analysis of objects: ① clinical symptoms of Poverty Alleviation: anemia, jaundice, splenomegaly; ② hemolysis: hemoglobin decreased, increased urinary gallbladder, indirect bilirubin increased, the network Significantly increased reticulocyte count, hyperplastic bone marrow red system, decreased particle / red ratio; ③ anti-human globulin test (Coomb’s test) positive; ④ adrenal cortex hormone therapy is effective.