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(一)关于诊断 急性溶血性贫血的诊断应根据病史、临床表现和实验室检查来确定。 1、首先要确定有无溶血。若患者起病急骤,有寒战、高热、腰痛、烦躁或恶心,呕吐、腹痛等症状,示红细胞大量破坏 分解代谢产物的反应。若尿呈葡萄酒色 深红色或酱油色,尿沉淀除外血尿,应用联苯胺试剂除外紫质尿、胆红素尿,药物性色素尿,结合无剧烈运动史及严重外伤史除外肌红蛋白尿则为急性血管内溶血的重要证据。本组患者均有血红蛋白尿。在实验室检查方面,血红蛋白、血
(A) on the diagnosis of acute hemolytic anemia diagnosis should be based on history, clinical manifestations and laboratory tests to determine. 1, first of all to determine whether hemolysis. If the patient has a sudden onset, there are chills, fever, back pain, irritability or nausea, vomiting, abdominal pain and other symptoms, showing a large number of destruction of red blood cells catabolism reaction. If the urine was dark red wine or soy sauce color, urine sediment except hematuria, application of benzidine reagent except urine urine, bilirubin, drug-induced pigmenturia, with no history of strenuous exercise and severe traumatic history except myoglobinuria An important evidence of acute intravascular hemolysis. This group of patients have hemoglobinuria. In laboratory tests, hemoglobin, blood