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杨某、女、21岁、回族、农民,新疆籍。以头晕、乏力两年,加重三个月于82年元月23日入院。79年起头晕乏力 Hb4克,治疗及输血后升至9克。既往月经量不多,现已停经两月,结婚三个月,家族无类似疾病。体检:巩膜可疑黄染,肝肋下1.5cm,宫体2～3个月娠妊大小。Hb5～7克,WBC3000～6100,N58％,网织红2.3～9.5％,血小板7万,贫血常规 MCH39微微克,MCV140立方微米,MCHC37％,周围红细胞形态大小不等,以大细胞为主。血清铁160微克％,黄疸指数7u,红细胞脆性试验,开始溶血0.48％,完全溶血0.40％,CoombS试验;直接、间接反应均(-),葡萄糖水试验(+),热溶血,酸溶血试验均(+),两
Yang, female, 21 years old, Hui, peasant, Xinjiang nationality. To dizziness, fatigue for two years, aggravating three months in January 82, January 82 admission. 79 years of dizziness and weakness Hb4 grams, after treatment and blood transfusion rose to 9 grams. Previous small amount of menstruation, now menopause two months, married three months, the family no similar diseases. Physical examination: suspicious sclera yellow dye, liver ribs 1.5cm, 2 to 3 months pregnant Palace pregnancy size. Hb5 ~ 7g, WBC3000 ~ 6100, N58%, reticulocyte 2.3 ~ 9.5%, platelet 70,000, anemia routine MCH39 picogram, MCV140 cubic micron, MCHC37%, the size of the surrounding red blood cells ranging from large to large. Serum iron 160 micrograms%, jaundice index 7u, erythrocyte fragility test, hemolysis 0.48%, complete hemolysis 0.40%, CoombS test; direct and indirect reaction (-), glucose water test (+), Two