Heilmann E, Wessels G, Loew H
Med Klin. 1976 Jan 16;71(3):110-1.
We report about a patient with corpuscular hemolytic anemia and chronic glomerulonephritis in the state of terminal renal failure. The hematocrit decreased to 11% gradually with the progression of uremia. The hematological studies revealed the typical signs of hemolytic anemia. We found a splenic destruction of 51-Cr labelled red cells combined with an extremely short red cell life of 7 days. After splenectomy hematocrit improved to 32%. A complete normalisation could not be expected because of the chronic renal failure leading to anemia itself.
我们报告了一名患有小球性溶血性贫血和处于终末期肾衰竭状态的慢性肾小球肾炎患者。随着尿毒症的进展,血细胞比容逐渐降至11%。血液学研究揭示了溶血性贫血的典型体征。我们发现51-铬标记红细胞的脾脏破坏,同时红细胞寿命极短,仅为7天。脾切除术后,血细胞比容升至32%。由于慢性肾衰竭本身会导致贫血,因此无法期望完全恢复正常。