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1 临床资料 患者,男,51岁,于1988年11月上旬因咳嗽咳痰而服用头孢氨苄(先锋霉索Ⅳ)0.25g4/d×6d,服药次日出现眼睑水肿,2周后自觉头昏,心慌逐日加重,出现颜面苍白来本院门诊查血红蛋白36g/L,以贫血待查于1989年1月19日住院。1986年4月曾有青霉素过敏史。既往无贫血史。体检:体温36.5℃,重度贫血貌,扁桃体不大,胸骨无压痛,心肺无异常,腹软,无压痛,肝肋下未及,脾肋下2cm,质中。余无特殊异常发现。
1 clinical data, male, 51 years old, early in November 1988 for cough and sputum taking cephalexin (Pioneer Myositis IV) 0.25g4 / d × 6d, eyelid edema took the next day medication, 2 weeks after consciously dizzy , Palpitation increased day by day, appeared pale to our hospital outpatient check hemoglobin 36g / L, to be awaited in January 19, 1989 hospitalization. April 1986 had penicillin allergy history. No history of anemia. Physical examination: body temperature 36.5 ℃, severe anemia, small tonsils, no tenderness of the sternum, no abnormal heart and lungs, abdominal softness, no tenderness, liver under the ribs and under, ribs 2cm, quality. I found no special abnormalities.