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患者,男36岁,农民。因乏力、头晕、心慌3月于1994年3月初次来我院就诊。4个月前病人曾咳嗽,痰中带血丝,服红霉素20余天(未服其它药物),呼吸道症状消失。此后半月渐感乏力、头晕、有时心慌,不伴发热,鼻衄、呕血、黑便等症状,食欲良好。在外未做治疗。查体:体温36℃,脉搏90次/分,呼吸18次/分,血压15/9kPa。贫血貌,皮肤粘膜无出血点,心肺、腹部及四肢未见异常。实验室检查:Hb73g/L,RBC1.9×10~(12)/L,WBC2.7×10~9/L,血小板(PC)93×10~9/L。骨
Patient, male, 36 years old, farmer. Due to fatigue, dizziness, palpitation March in March 1994 for the first time to our hospital. 4 months ago the patient had cough, bloody sputum, serving erythromycin more than 20 days (not served other drugs), respiratory symptoms disappear. After half a month gradually feel weak, dizzy, sometimes flustered, without fever, epistaxis, vomiting, melena and other symptoms, good appetite. Out of treatment outside. Physical examination: body temperature 36 ℃, pulse 90 beats / min, breathing 18 beats / min, blood pressure 15 / 9kPa. Anemia, skin and mucous membrane without bleeding, heart and lungs, abdomen and limbs without exception. Laboratory tests: Hb73g / L, RBC1.9x10-12 / L, WBC2.7x10-9 / L, platelet (PC) 93x10-9 / L. bone