Diamicron 1 case of hemolytic anemia caused by.docVIP

 PAGE \* MERGEFORMAT 5 Diamicron 1 case of hemolytic anemia caused by [Keywords:] hemolytic anemia; Diamicron 1 Case information Patients, female, 56 years old, due to repeated polydipsia, polyuria for 2 years, dizziness, fatigue, tinnitus 2 weeks hospitalization. Were no incentive almost 2 years there polydipsia, polyuria, six months ago in our department were diagnosed as “Type 2 diabetes, “taking Diamicron, each 80mg, 2 times a day Xuesaitong 120mg, 2 times a day and a half months after the polydipsia, urinary symptoms, normal blood sugar control, but dizziness, fatigue, tinnitus, eat less, dry mouth, epigastric fullness, and sometimes abdominal pain, diarrhea, palpitations, chest tightness, shortness of breath, no hematemesis, melena, soy sauce-like urine, no headaches, visual rotation. check blood in our clinic : WBC 13.6 10 9 / L, RBC 2.3 10 9 / L, Hb 75g / L, platelets 194 10 9 / L, fecal occult blood negative. did not attract attention, three days after the symptoms. admission check body temperature 36.8 , Pulse 80 times / min, blood pressure 100/60 mmHg, anemic appearance, skin, mucosa jaundice, bleeding, superficial lymph nodes untouched. sclera without jaundice, neck soft, no sternal tenderness, no abnormal lungs, heart rate 80 / min, law Qi, no noise. tummy flat, no tenderness, liver and spleen not palpable, normal bowel sounds. of both lower extremities without edema. blood: WBC 9.3 10 9 / L, RBC 2.0 10 12 / L, the 4% of cells, neutrophils 38.9% rate, urine positive for bilirubin, urobilinogen negative, urine occult blood positive. Conventional liver function: total bilirubin 30.5mol / L, indirect bilirubin 18.6mol / L, direct bilirubin 11.9mol / L, albumin 49g / L, globulins 19.3 / L, ALT 50IU / L, aspartate aminotransferase 38IU / L, lactate dehydrogenase 422IU / L, Gu acyl GGT 132IU / L , glucose 6.3mmol / L, glycosylated hemoglobin 6.1%, fructosamine 1.16mmol / L, triglyceride 2.98 mmol / L. Renal function was normal. antiglobulin t