[病例]巨幼细胞性贫血——面色苍白、牙龈出血

A 68‐year‐old male patient was admitted on March 26，2004 with complaint of “ pallor for 5 months，gums bleeding for 3 days ” ﹒ Five months ago，the patient noticed that he looked pale with poor appetite，fatigue and dizziness，患者。大细胞性贫血可见于：巨幼细胞性贫血、再障、MDS、脾亢、红白血病（Di Guglielmo ’ s综合征）、骨髓病性贫血、肝病、甲状腺功能减低。1确定巨幼细胞性贫血大细胞性贫血伴有中性粒细胞核分叶过多，是巨幼细胞性贫血的初筛条件。