患者,女,15岁。既往健康,无氯霉素等药物应用史。1986—07—04因发热苍白、乏力、皮肤出血点,按贫血待查住佳木斯市妇婴医院。入院查体:面色、眼结膜苍白;皮肤散在出血点;浅表淋巴结、肝、脾不大,无骨痛。实验室检查:白细胞3.7×10~9/L,杆状核1％,分叶核14％,淋巴细胞85％;血红蛋白45g/L,红细胞1.86×10~(12)/L;血小板45×10~9/L,网织红细胞0.4％;出血时间>7分;凝血时间正常;尿常规正常。骨髓象:增生减低,粒红比值13.3:1,红系、粒系均减低,淋巴细胞比值增高达50.55％,巨核细胞未见,血小板散在,少见。诊断:再障。用硝酸士的宁、强的松、苯丙酸诺 Patient, female, 15 years old. Past health, no history of chloramphenicol and other drugs. 1986-07-04 Due to fever, weakness, skin bleeding point, to be checked by anemia Jiamusi City Maternal and Child Hospital. Admission examination: looking, pale conjunctiva; scattered skin bleeding point; superficial lymph nodes, liver, spleen, no pain. Laboratory tests showed that white blood cells (3.7 × 10 ~ 9 / L), 1% rhizomes, 14% leaf lobes, 85% lymphocytes, hemoglobin 45g / L, erythrocytes 1.86 × 10-12 / L and platelets 45 × 10 ~ 9 / L, reticulocyte 0.4%; bleeding time> 7 points; clotting time is normal; normal urine. Bone marrow as: reduced hyperplasia, grainy ratio 13.3: 1, erythroid, granulocyte decreased, lymphocyte ratio increased up to 50.55%, no megakaryocytes, scattered platelet, rare. Diagnosis: aplastic anemia With nitric acid Ning, prednisone, phenylpropionate promise