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阵发性睡眠性血红蛋白尿29例临床分析
引用本文:齐振华,徐乃衍,李学渊.阵发性睡眠性血红蛋白尿29例临床分析[J].中南大学学报(医学版),1986(3).
作者姓名:齐振华  徐乃衍  李学渊
作者单位:湖南医学院第一附属医院内科血液室 (齐振华,徐乃衍),湖南医学院第一附属医院内科血液室(李学渊)
摘    要:报道29例阵发性睡眠性血红蛋白尿症(PNH)的临床表现、实验室检查、诊断、误诊原因、发并症及治疗等问题。

关 键 词:血红蛋白尿  阵发性  诊断  鉴别  病例报告

CLINICAL ANALYSIS OF TWENTY NINE CASES OF PAROXYSMAL NOCTURNAL HEMOGLOBINURIA(PNH)
Qi Zhenhua Xu Naiyan Li Xueyuan Research Laboratory of Hematology.CLINICAL ANALYSIS OF TWENTY NINE CASES OF PAROXYSMAL NOCTURNAL HEMOGLOBINURIA(PNH)[J].Journal of Central South University (Medical Sciences)Journal of Central South University (Medical Sciences),1986(3).
Authors:Qi Zhenhua Xu Naiyan Li Xueyuan Research Laboratory of Hematology
Institution:Qi Zhenhua Xu Naiyan Li Xueyuan Research Laboratory of Hematology
Abstract:Twenty nine cases of PNH were admitted in our hospital from July 1957 to January 1985. Among these,23 are males and 6 females,with a ratio of 3.8:1. The onset of the disease in 26 cases occurred between 20-40 years of age. 28 cases presented but one patient denied history of hemoglobinuria. Other symptoms are headache,general malaise,palpitation, dyspnea,and symptoms of anemia. Ham's test was positive in 28 cases and the only one negative case had a positive urine he-mosiderin test. 6 cases were misdiagnosed as aplastic anemia because of the presence of pancytopenia on admission. Treatment was mainly supportive.
Keywords:Hemoglobinuria  paroxysmal Diagnosis  differential Case report
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