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急性甲型肝炎伴血小板减少及溶血性贫血1例报告
DOI: 10.3969/j.issn.1001-5256.2021.04.035
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A case of acute hepatitis A with thrombocytopenia and hemolytic anemia
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Key words:
- Hepatitis A /
- Thrombocytopenia /
- Anemia, Hemolytic
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图 1 骨髓涂片检查结果(瑞特-吉姆萨染色方法，×100)
注：骨髓增生活跃，有核细胞增生活跃, 红系增生活跃，以中晚幼红细胞为主(绿色剪头示中幼红细胞，蓝色剪头示晚幼红细胞，橙色剪头示嗜多染红细胞)。
表 1 患者入院前、治疗期间及出院后随访2周的血常规及肝功能变化情况
时间 白细胞(×109/L) 红细胞(×1012/L) 血红蛋白(g/L) 血小板(×109/L) AST (U/L) ALT (U/L) GGT (U/L) TBil (μmol/L) DBil (μmol/L) IBil (μmol/L) 7月15日 16.37 3.54 131 33 691.5 519.2 115.4 108.0 11.8 96.2 7月17日 11.67 3.41 118 92 76.0 302.7 90.8 110.0 12.8 97.2 7月20日 10.87 2.79 96 188 16.0 90.3 56.9 35.0 5.9 29.1 7月23日 7.28 2.69 92 272 12.8 34.3 47.2 21.5 4.1 17.4 7月25日 7.54 2.86 99 351 13.1 25.6 53.4 30.7 5.8 24.9 8月10日 4.82 3.77 127 319 12.0 23.0 36.0 5.3 1.9 1.5 
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