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患儿,男,10岁4个月。于入院前1周右手指破损化脓,入院前4天发生高热(T40℃),伴畏冷。患儿面色日渐苍白,疲乏无力,尿短赤。拟为溶血性贫血收入院。检查:精神萎靡,重度贫血外观,皮肤无黄染及皮疹,淋巴结无肿大,心肺(-),肝于右肋下1cm触及,脾未触及。实验室检查:血红蛋白3g/dl,白细胞4300/mm~3,杆状2%,分叶44%,淋巴52%,嗜酸2%,血小板20万/mm~3,网织红细胞0%。
Children, male, 10 years and 4 months. One week before admission, the right finger was damaged and pus. High fever (T40 ° C) occurred 4 days before admission, with fear of cold. Children look increasingly pale pale, tired and weak, short urine red. To be hospitalized for hemolytic anemia. Check: apathetic, severe anemia appearance, skin yellow and rash, no lymph node enlargement, cardiopulmonary (-), liver in the right rib 1cm touch, spleen not touched. Laboratory tests: hemoglobin 3g / dl, leukocyte 4300 / mm ~ 3, rod 2%, leaf 44%, lymph 52%, 2% acidophilus, platelets 200000 / mm ~ 3, reticulocyte 0%.