病史摘要徐××,女,18岁,农民。因髋关节疼痛,面色苍白半月,于1981年1月19日入院。患者于入院前半月出现双侧髋关节疼痛,进行性加重,几天内即发展到行走困难。无自觉发热,面色日渐苍白,乏力。病后1周入当地卫生院,拟诊风湿性关节炎。住院8天,体温升高(38℃),骨痛加重,扩大到胸背部及四肢,贫血明显。用青、链霉素、阿斯匹林、皮质激素、输血等治疗无效。近3天每天排黑大便1次(大便潜血+++),因诊断不明确转入本院。既往史无特殊,一向体健,其妹9岁时因“骨痛贫血病”短期内死于某医院。 Medical history Xu × ×, female, 18 years old, farmer. Because of hip pain, pale half months, January 19, 1981 admission. Patients with bilateral hip pain in the first half of admission, progressive increase in a few days that developed to walking difficulties. Without conscious fever, looking pale, weak. 1 week after illness into the local hospitals, intends to diagnose rheumatoid arthritis. Hospitalized for 8 days, body temperature increased (38 ℃), increased bone pain, extended to chest and back and limbs, anemia. With blue, streptomycin, aspirin, corticosteroids, blood transfusion and other treatment is invalid. Nearly 3 days a row of black stool 1 (fecal occult +++), due to the diagnosis is not transferred to our hospital. No history of the past, has always been healthy, his sister 9 years old because of “bone anemia” died of a short period of time in a hospital.