钩端螺旋体病并发急性溶血性贫血,在国内报道尚少,我区尚未见报告,现将我们所见1例报告如下。病例摘要患者洪××,男,41岁,农民,住院号5481。因高热、畏寒、全身肌肉酸痛于1973年9月28日入院。于5天前突发高热、畏寒、头痛、全身肌肉酸痛,小腿剧痛而不能下床活动,病后第二天皮肤变黄,日渐明显,小便量减少,色黄如浓茶,有尿急、尿痛。自觉右上腹持续性胀痛,食欲锐减,伴恶心呕吐,呕吐物为胃内容物。有轻微咳嗽,无痰、无咯血。病后全身乏力,头晕。曾在当地卫生站服中药无效,病情加重而入 Leptospirosis complicated by acute hemolytic anemia, reported in the country is still small, our district has not yet seen the report, we now see a report of the following. Case summary HONG XX, male, 41 years old, farmer, hospital number 5481. Because of fever, chills, body aches and pains on September 28, 1973 admission. Sudden fever, chills, headache, body aches and pains, severe pain in the lower leg, and getting out of bed. The skin became yellow on the next day after the illness, and the amount of urination was reduced. The color yellow like strong tea and urine Urgency, dysuria. Conscious right upper quadrant persistent pain, sharp drop in appetite, with nausea and vomiting, vomit for the stomach contents. A slight cough, no sputum, no hemoptysis. Illness, dizziness after illness. Served in the local health station invalid Chinese medicine, the disease worsened