先天性纯红细胞再生障碍性贫血1例

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1 病历报告 患儿男,3个月。以“面色苍白1个月”为主诉入院。1个月前无明显诱因家长发现其面色苍白。不伴发热及恶心呕吐。在当地医院化验Hb:20g/l,故来我院住院治疗。查体:T36.7℃,R38/min,P120/min,Wt6.0Kg。神志清、精神可,呼吸平稳,面色苍白。周身皮肤粘膜无黄染及出血点。未触及浅表淋巴结肿大。睑结膜及口辱苍白。咽无充血。颈软。心肺正常。肝脾未触及。拇指无畸形,甲床苍白。神经系统无阳性体征。血常规:WBC6.5×10~9/L,St0.02,S0.01,L0.86,M0.02,RBC2.01×10~(12)/L,HGB65g/l Rc:0PLT405×10~9/L,BT1′30″,CT2′。肝功及乙肝五项 1 medical records of children with male, 3 months. To “pale 1 month” mainly for admission. 1 month ago, no obvious incentive for parents to find pale. Not accompanied by fever and nausea and vomiting. Hb in the local hospital test: 20g / l, so I hospitalized. Physical examination: T36.7 ℃, R38 / min, P120 / min, Wt6.0Kg. Conscious, spiritual, breathing steady, pale. Whole body skin and mucous membrane without yellow dye and bleeding points. Unaffected superficial lymph nodes. Membrane conjunctiva and pale mouth. Throat without congestion. Neck soft. Cardiopulmonary normal. Liver and spleen not touched. No deformity thumb, nail bed pale. Nervous system no positive signs. Blood: WBC 6.5 × 10 ~ 9 / L, St0.02, S0.01, L0.86, M0.02, RBC2.01 × 10-12 / L, HGB65g / l Rc: 0PLT405 × 10 ~ 9 / L, BT1’30 ", CT2 ’. Liver function and hepatitis B five
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