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患者男,25岁。于1990年6月18日因患感冒自服速效伤风胶囊2粒/次,3次/日服药2天发现尿呈浓茶色,但未戒意,继续服药至第3天,出现腹痛及腰痛不适,尿似酱油色而来院就诊,疑为“溶血性贫血”入院。既往无服该药史及类似发病史。查体:贫血貌,精神欠佳,巩膜及皮肤轻度黄染,心肺(一),肝不大,脾大1.0cm,双肾区轻度叩击痛。化验:尿蛋白(++),尿潜血试验(+++);Hb100g/L、WBC4.7×10~9/L、BPC180×10~9/L,血片中可见晚幼红细胞;
Male patient, 25 years old. On June 18, 1990, 2 patients were admitted to the hospital for the treatment of cold and self-made cold capsules 2 times a day, 3 times / day for two days. Urine was found to be heavy brown but did not abstain from taking medication. On day 3, abdominal pain and lumbago , Urine like soy sauce and came to hospital, suspected “hemolytic anemia” admission. Previously unprovoked drug history and similar history. Physical examination: anemia appearance, poor psychology, sclera and skin mild yellow dye, cardiopulmonary (a), small liver, splenomegaly 1.0cm, mild perineal area percussion pain. Urine protein (++), urine occult blood test (+++); Hb100g / L, WBC4.7 × 10-9 / L, BPC180 × 10-9 / L,