Blood disease 2 cases of avascular necrosis of femoral head.docVIP

 PAGE \* MERGEFORMAT 5 Blood disease 2 cases of avascular necrosis of femoral head Of: Qiuying Yu Gao Ling Xia Liu Cuiying 1 case 1 Male, 42 years old, Anhui Province, Guoyang County farmers, in April 1990 to “yellow face, fatigue, gum bleeding in June,” the main complaint is admitted. Examination: Shen Qing, severe anemia, appearance, body skin, a little bleeding can be seen , superficial lymph nodes are not swollen face and lips were pale conjunctiva, gums had old blood stains. neck soft, thyroid not enlarged, no jugular vein engorgement, no abnormal carotid pulse. breastbone no tenderness, clear breath sounds lungs , systolic heart murmur could be heard and , liver and spleen is not swollen, limbs, joints without swelling, pain and functional changes. blood test: Hb55g / L, WBC 2.2 109 / L, BPC23 109 / L, N 0.16 L 0.75 M0.09 Ret 0.005. Bone marrow examination: to reduce nuclear proliferation, to reduce the proportion of granulocyte system, morphology was normal, to reduce the proportion of red blood cell system to the middle and late erythroblast-based, mature red blood cells no obvious abnormalities, lymphocytosis, are mature lymphocytes, see the entire film is one of megakaryocytes, 30% area of bone marrow particles to plasma cells, tissue basophils, and reticular cells common to check liver function, kidney function was normal, sugar, acid hemolysis, hot Resistance tests were negative, urine hemosiderin test was negative. Diagnosis: chronic aplastic anemia. marrow infusion after admission given strychnine nitrate 6mg, 10mg dexamethasone 2 times a week, once every 3 months, Hb increased to 120g / L, WBC increased to 6.3 109 / L, BPC increased to 56 109 / L, Ret increased to 0.015, bone marrow infusion to continue, dexamethasone reduction to 5mg, 2 times a week, once a February , was discharged in remission. change clothes prednisone 5mg, 1 3 times a day, and discharged after 3 months of left hip pain appears, once again to hospital