我们到1987年底收治4例EVANS 综合征,其中女3,男1,25～42岁,从发病至确诊为1个月～5年,3例是原发性血小板减少性紫瘫与自身免疫性溶血性贫血同时起病,1例是在自身免疫性溶血性贫血5年后合并原发性血小板减少性紫癜。4例均有头晕、乏力等贫血症状及巩膜黄染,3例有出血表现,其中粘膜出血3例、鼻衄1例,月经过多1例。肝大、脾大各1例。 We were admitted to the end of 1987, 4 cases of EVANS syndrome, of which 3 females, male 1,25 to 42 years old, from the onset to a definite diagnosis of 1 month to 5 years, 3 cases of primary thrombocytopenic infantile paralysis and autoimmune Hemolytic anemia also onset, one case of autoimmune hemolytic anemia after 5 years of primary thrombocytopenic purpura. 4 cases were dizziness, fatigue and other symptoms of anemia and scleral yellow dye, bleeding in 3 cases, including 3 cases of mucosal bleeding, epistaxis in 1 case, 1 case of menorrhagia. Liver, splenomegaly in 1 case.