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一名52岁的技工,于1969年5月作胸脊柱复整手术,两个月后发生血清性肝炎——后来成为慢性持续性肝炎。同年11月发现有全血细胞减少症(血色素6.7克,白细胞2600,血小板6.2万),曾多次输给红细胞悬液,并注射蛋白合成激素。1974年8月及次年3月,在寒战及发热之后两次出现大量血色素尿。此后常于晨间有深色尿。1976年7月5日,病人突然寒战、发热达41℃,次日尿液几呈黑色,诉困乏及腰背剧痛。血沉98/110毫米,血色素10.6克,白
A 52-year-old mechanic who underwent thoracic spine reconstructive surgery in May 1969 and seroneal hepatitis two months later became chronic persistent hepatitis. In November the same year, he found pancytopenia (hemoglobin 6.7 grams, 2600 white blood cells, platelets 62000), has repeatedly lost erythrocyte suspension, and protein synthesis hormone injection. In August 1974 and March of the following year, a large amount of hemoglobin urine appeared twice after chills and fever. Since then there is dark urine in the morning. July 5, 1976, the patient suddenly chills, fever up to 41 ℃, the next few urine was black, lack of appetite and back pain. ESR 98/110 mm, hemoglobin 10.6 grams, white