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刘××女 29岁,因酱油色尿、眼发黄七天于1983年11月23日入院。患者血型为B型。于1983年11月16日在当地行剖腹产手术,术中输O型全血400ml,约9小时后解酱油色尿,巩膜黄染,Hb由术前的8.5g/dl降至1.6g/dl,RBC由283万/mm~3降至85万/mm~3。自述头昏、心慌,发热加重,以“贫血原因待查”转来我院。检查:T:37.1℃、P:112次/分,BP:100/70mmHg,危重病容,极度贫血貌。皮肤粘膜苍白,无出血,浅表淋巴结不肿大,巩膜无明显黄染,其它无特殊。入院时Hb2.5g/dl,RBC95万/mm~3,WBC102000/mm~3,N 80％,L 20％,网织红细胞计数:35％,肝功能正常,CO_2cp 58.24vol％,BUN 29mg/dl。Coomb′s试验阴性,大便常规正常,小便常规:蛋白(++),红细胞少
Liu XX female 29 years old, due to soy sauce, yellow eyes seven days in November 23, 1983 admission. The patient’s blood type is type B. On November 16, 1983, a caesarean section operation was performed on the local area. O-type whole blood was infused 400ml during the operation. After about 9 hours, the soy sauce was smeared and the sclera was yellowed. The Hb decreased from 8.5g / dl to 1.6g / dl , RBC dropped from 2.8 million / mm ~ 3 to 850,000 / mm ~ 3. Readme dizziness, palpitation, exacerbations, to “anemia to be investigated” to our hospital. Check: T: 37.1 ℃, P: 112 beats / min, BP: 100 / 70mmHg, critically ill, extremely anemic appearance. Skin mucosa pale, no bleeding, superficial lymph nodes are not swollen, sclera no obvious yellow dye, the other no special. Admission Hb2.5g / dl, RBC95 million / mm ~ 3, WBC102000 / mm ~ 3, N 80%, L 20%, reticulocyte count: 35%, normal liver function, CO_2cp 58.24vol%, BUN 29mg / dl . Coomb’s test negative, stool routine normal, urine routine: protein (++), less red blood cells