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患者,男性,32岁,未婚。黑龙江人,因头晕,心悸,乏力5年于1980年6月10日住院。5年前始头晕,心悸,乏力并逐加重,难以坚持工作,在当地医院就诊,查血红蛋白3g%,诊断“贫血待查”,住院治疗。住院期间每夜间尿色如浓茶。白天变淡,尤在感冒发热或合并其他感染时尿色愈深,症状加重,遂确诊为溶血性贫血,阵发性睡眠性血红蛋白尿。数年来在北京、上海长期住院治疗,效果不甚明显,血红蛋白最低3g%,偶有8g%,一般维持在6g%,家族中无类似病史。
Patient, male, 32 years old, unmarried. Heilongjiang people, due to dizziness, palpitations, fatigue five years in June 10, 1980 hospitalization. 5 years ago, dizzy, palpitations, fatigue and increased by weight, it is difficult to adhere to work in the local hospital for treatment, check hemoglobin 3g%, diagnosis of “anemia to be investigated,” hospitalization. Dark urine like thick tea every night during hospitalization. Dimming during the day, especially in cold or fever and other infections with dark urine, the symptoms worse, then diagnosed with hemolytic anemia, paroxysmal nocturnal hemoglobinuria. Over the years in Beijing, Shanghai, long-term hospitalization, the effect is not obvious, the lowest hemoglobin 3g%, occasionally 8g%, generally maintained at 6g%, no similar family history.