【摘要】 <正> 纯红细胞再生障碍性贫血(以下简称纯红再障)是指仅累及红细胞系生成而不影响粒细胞和血小板的贫血。此类贫血较少见。胸腺瘤伴发纯红再障在国外文献虽有报道,但国内仅有2例报道,我们遇见1例,报道如下。盛×,男,33岁,社员,1979年10月10日入院。入院前三个月开始头昏,心悸,面色苍白,逐日加重。病后无出血倾向。入院前一天有感冒发烧。既往体健。1971年出现双眼皮下垂,吞咽无力,诊断为重症肌无力,服新斯的明即有好转,持续治疗四个月后症状消失。当时有无胸腺瘤不明。家族中无类似病史。更多还原

【Abstract】 A 33-year-old male farmer was admitted on Oct.10th,1979.In 1971 the patienthad symptoms of myasthenia gravis which subsided a few months later afterneostigmine treatment.No thymoma was noticed at that time.Three months priorto the present admission,the patient suffered from a progressive anemia.Chest filmrevealed enlargement of the thymus to both sides.Hemoglobin 4g%.RBC 1,200,000/cmm.Reticulocyte count 0.1%.WBC and platelets normal.Bone marrow aspiration disclos-ed marked erythroblastic aplasia with normal leucocytic series and megakaryocytes.There was a moderate increase of IgM to 258.3mg%.The patient was successivelytreated with repeated transfusions,thymusectomy,corticosteroid,androgen andimmunosuppressives for 6 months yet without any improvement.The pathogenesis ofthe syndrome and its relation to immunology were briefly discussed.更多还原