血液科入院病历（Department of Hematology medical record）.docVIP

血液科入院病历（Department of Hematology medical record） V Admission case history The name XX work unit ranks Shanghai computer factory X Turner Gender address, Shanghai, South District, Wang Jia pier, No. XX Age 38 years, admission date 2010-5-12 Married history take the date of 2010-5-12 Native place, Jiangsu, Yixing, medical history, date, 2010-5-12 I am the author of the disease Complained of menorrhagia for 5 years, dizziness, fatigue, loss of appetite, palpitation and shortness of breath for about 6 months. The patient with a history of menstruation has increased since 2005, with dark red blood clots, 9~10 days clean, requiring more than 2 bags of toilet paper each time, and 28~30 days of menstrual cycle. Never seek medical treatment without obvious discomfort. Since October 1990, often feel dizziness, fatigue, loss of appetite, walking faster or upstairs feeling flustered, shortness of breath, nasal cavity, gums, skin and so on without bleeding. Two months ago, in the hospital clinic to check hemoglobin 58g/L, oral administration of ferrous sulfate 2 tablets, 3/d, 3 days later because of stomach discomfort, nausea and self stop clothes, modified Chinese medicine decoction for more than 1 months, the symptoms did not improve significantly. May 6th to our hospital, check the hemoglobin 60g/L, white blood cell count 5.7 * 109/L 120 * 109/L, platelet count, reticulocyte count 1%, serum iron 13.4 mol (75 g/dl), total iron binding capacity of 53.7 mol (300 g/dl), 25% iron saturation. This morning to anemia state hospital. Since the onset of anorexia, poor sleep, dreams, memory loss, and sometimes tinnitus. Defecation is normal. The past history was healthy, 3 years old suffered from measles. At the age of 10, 3 days of fever, with pus and blood, daily 5 ~ 6 times, with tenesmus, diagnosed as acute dysentery, by take a week to heal without berberine, furaxone acute hepatitis, typhoid, malaria, schistosomiasis and sputum tuberculosis history. Juvenile BCG vaccine and vaccine