Oliveira A, Frazão A, Duarte P C, Nogueira B
Serviço de Medicina I, Hospital de Santa Maria, Lisboa.
Acta Med Port. 1998 Jun;11(6):569-72.
The authors report the case of a 53-year-old female with symptomatic anemia and hemorrhagic diathesis. The patient presented thrombocytopenia, microangiopathic hemolytic anemia and leukoerythroblastic reaction in peripheral blood film. The diagnosis of metastatic gastric carcinoma was made by subsequent studies. A review is made of the literature concerning microangiopathic hemolytic anemia, namely its etiology, mechanisms of pathogenesis and association with metastatic carcinoma.
作者报告了一例53岁有症状性贫血和出血素质的女性病例。该患者外周血涂片出现血小板减少、微血管病性溶血性贫血和幼粒-幼红细胞反应。后续检查确诊为转移性胃癌。本文对有关微血管病性溶血性贫血的文献进行了综述,包括其病因、发病机制及与转移性癌的关联。