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山东医刊1961年第8期27页,发表了王念斌医师所写的一篇综述,其中还附有作者的病例,这样应该给读者带来帮助。不过,这篇文章中尚存在一些问题,愿略陈拙见,供作者参考。首先,所列举的原发性肺合铁血黄素沉着症在诊断上存在着问题,据 Wynn 等氏的意见面对着一个肺粟粒性病变的患者,特别是有发热、贫血、呼吸困难、咯血等症状时,应该考虑本病;但考虑有这种病的可能后,还需加以证实,成立诊断要具有下述条件:(1)呼吸系统的症状。(2)缺铁性贫血但又具有溶血特点即所谓假溶血现象,红血球脆度正常,血小板正常,出凝血时间正常,白血球略微增加。
Shandong Medical Journal No. 8, 1961, No. 27, published a review written by Dr. Wang Nianbin, which also includes the author’s case, so should bring readers help. However, there are still some problems in this essay. First of all, there are problems with the diagnosis of primary pulmonary hemosiderosis listed. According to the opinion of Wynn et al., A patient suffering from pulmonary miliary lesions, especially those with fever, anemia, dyspnea, hemoptysis Such symptoms should be considered when the disease; but consider the possibility of this disease, the need to be confirmed, the establishment of a diagnosis to have the following conditions: (1) the symptoms of the respiratory system. (2) iron deficiency anemia but also has the characteristics of hemolysis, the so-called pseudo-hemolytic phenomenon, normal red blood cell fragility, normal platelets, clotting time is normal, a slight increase in white blood cells.