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作者报告1例自身免疫性溶血性贫血(WAIHA)经放疗而好转的病例。患者男,73岁,兼有高血压,充血性心力衰竭2年。因重度心衰及大量腹水而入院。腹部超声检查除腹水外,脾中度大(14cm),心动超声检查呈球形,左室功能极度不良。血红蛋白为87g/l,网织红细胞为13%。Coombs 试验直接法,用抗-IgG 测得结果为强阳性,用抗-C_3~(?)测得结果为阴性。细胞洗脱液中有大量非特异性温抗体,血
The authors report a case of autoimmune hemolytic anemia (WAIHA) improved by radiotherapy cases. Male patient, 73 years old, both high blood pressure, congestive heart failure for 2 years. Due to severe heart failure and a large number of ascites and admission. Abdominal ultrasonography in addition to ascites, splenomegaly (14cm), echocardiographic spherical, left ventricular dysfunction. Hemoglobin was 87 g / l and reticulocyte was 13%. Coombs test direct method, with anti-IgG test results were strongly positive, measured with anti-C3 ~ (?) Was negative. There are a large number of cell non-specific elution of warm antibodies, blood