女性 48岁农民,一年来逐渐乏力,头晕、心悸、间歇性皮肤紫斑及牙龈出血而入院。无发热、骨痛,祖籍内蒙丰镇,家族中无类似病史,无感染及服用伯氨喹啉药物和进食蚕豆史。月经量少。查体:生命体征正常。颜面苍黄,浅表淋巴结不肿大,胸骨无叩痛,心界向左下扩大,心尖三级缩鸣。肝脾未及。下肢轻度指压痕。无出血点,巩膜不黄,入院时Hb20g/L,WBC1×10~9/L,DC,P52％L43％,M5％,Pt32×10~9/L,Rec1.7％,骨(?)象增生活跃。粒红比例1.56: Female 48-year-old farmer, gradual fatigue over the past year, dizziness, palpitations, intermittent skin purpura and bleeding gums and admission. No fever, bone pain, ancestral home town of Inner Mongolia, no similar family history, no infection and taking primaquine drugs and eating beans history. Less menstruation. Physical examination: vital signs normal. Pale face, superficial lymph nodes are not swollen, no sore neck pain, heart to expand to the lower left, apical three Ming Ming. Liver and spleen not yet. Lower extremity mild refers to the indentation. There was no bleeding and sclera was not yellow. On admission, Hb20g / L, WBC1 × 10-9 / L, DC, P52% L43%, M5%, Pt32 × 10-9 / L, Rec 1.7% Hyper-active. Grainy red ratio 1.56: