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β地中海贫血是各型地中海贫血中最常见的一种类型。但β地中海贫血合并再生障碍性贫血目前尚未见报告。女,30岁,住院号81655。因头晕、疲乏、脸色苍白1年余,近3周病情加重,于1983年7月8日入院。患者于1982年6月起头晕、乏力、纳差、脸色苍白,到某医院检查,血红蛋白7.7g,红细胞238万,白细胞6700,诊断为“贫血”。经门诊治疗无效。1983年3月在某医院住院治疗。检查血红蛋白电泳:血红蛋白A_23.77%,抗硷血红蛋白9.39%。骨髓检查:“增生性贫血(溶血性)”。出院诊断:1.β地中海贫血,2.缺铁性贫血。近3周来上述症状加重,每当劳累后常伴心悸、气促,以“贫血原因待查”收住本院。体查:体温37.1℃,脉搏98次,呼吸22次,血压
Beta thalassemia is the most common type of thalassemia of any type. However, β-thalassemia associated with aplastic anemia has not been reported. Female, 30 years old, hospital number 81655. Due to dizziness, fatigue, pale for more than 1 year, the condition worsened in the past 3 weeks, was admitted on July 8, 1983. Patients in June 1982 dizziness, fatigue, anorexia, pale, to a hospital examination, hemoglobin 7.7g, red blood cells 2380000, white blood cells 6700, diagnosed as “anemia.” Out-patient treatment is invalid. March 1983 hospitalized in a hospital. Check hemoglobin electrophoresis: hemoglobin A_23.77%, anti-alkaline hemoglobin 9.39%. Bone marrow examination: “Hyperplastic anemia (hemolytic)”. Discharge diagnosis: 1.β thalassemia, 2. Iron deficiency anemia. The past three weeks to aggravate the symptoms, often accompanied by palpitations after fatigue, shortness of breath, to “anemia to be checked” admitted to this hospital. Physical examination: body temperature 37.1 ℃, pulse 98 times, breathing 22 times, blood pressure