Evans综合征又称自身免疫性溶血贫血合并原发性血小板减少性紫癜。过去认为罕见,近些年来国内报道日渐增多。现将本人收治的三例报告如下。病例报告例一,男性28岁。因头晕乏力,皮肤紫癜一月于1979年5月14日入院。发病前一周因头晕乏力、头痛、鼻塞,口服复方新诺明2天,而头晕加重并出现皮肤发黄,上肢紫癜住院。查体:体温37.8℃,脉搏80次/分,血压110/80mmHg。发育营养中,皮肤巩膜黄染,下肢皮肤见针尖样出血点及 Evans syndrome, also known as autoimmune hemolytic anemia combined with primary thrombocytopenic purpura. In the past, it was considered rare, and domestic reports have been increasing in recent years. Now I admitted to the three cases are as follows. Case report, a male 28 years old. Due to dizziness, skin purpura January January 1979, admitted to hospital. A week before the onset of dizziness due to fatigue, headache, stuffy nose, oral cotrimoxazole 2 days, while dizziness and increased skin yellow, purpura hospitalized. Physical examination: body temperature 37.8 ℃, pulse 80 beats / min, blood pressure 110 / 80mmHg. Developmental nutrition, the skin sclera yellow dye, see the tip of the skin and lower extremity bleeding point