患者女,53岁。因反复头昏,乏力15年,加重10d,于2003-12-14入院。患者于38岁时发现有贫血,血红蛋白8090g/L,时有头昏、乏力、怕冷、食欲差。曾在当地做骨髓检查示缺铁性贫血,给予补充铁剂等对症治疗,症状改善不明显。入院前一天感乏力加剧,并出现恶心、呕吐,表情淡漠,嗜睡,二便 Female patient, 53 years old. Due to repeated dizziness, fatigue 15 years, increased 10d, 2003-12-14 admission. Patients at the age of 38 found anemia, hemoglobin 8090g / L, sometimes dizziness, fatigue, cold, poor appetite. Has done local bone marrow examination showed iron deficiency anemia, given iron supplements and other symptomatic treatment, the symptoms did not improve significantly. The day before admission, fatigue increased, and nausea, vomiting, apathy, lethargy, two will