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患者女性.24岁。因四肢关节酸痛3年,上腹部胀闷感,反复鼻齿出血,两下肢瘀斑3月于1986年8月7日入院.患者近3年来觉四肢关节(肩、肘、腕、指)肿痛,活动受限,晨僵明显,伴发热。常服消炎痛等药物,肿痛时有缓解.4月前接受布洛芬、氯哇、中药等治疗。1月后关节肿痛好转,然渐感上腹部胀闷,反复鼻衄、齿血及两下肢散在瘀斑.近1周因鼻衄不止转我院.体检:T37.2℃,P80次/分,R20次/分,BP13.3/6.5kPa 发育中等.消瘦,贫血貌,巩膜轻度黄染,鼻腔、牙龈渗血不止,
Patient Female .24 years old. Due to joint pain in limbs for 3 years, upper extremity bloating feeling, repeated nasal bleeding, both lower extremity ecchymosis March was admitted to hospital on August 7, 1986. In recent 3 years, patients with limbs (shoulder, elbow, wrist, finger) swollen Pain, limited activities, morning stiffness obvious, with fever. Indomethacin and other drugs, swelling and pain relief. 4 months ago to accept ibuprofen, chlorine wow, Chinese medicine and other treatment. 1 month after the joint swelling and pain improved, but gradually feel the upper abdomen bloating boring, repeated epistaxis, tooth blood and two lower extremity scattered ecchymosis. Nearly 1 weeks because of epistaxis not only transferred to our hospital. Physical examination: T37.2 ℃, P80 / Points, R20 beats / min, BP13.3 / 6.5kPa development of moderate.Wasting, anemia, scleral mild yellow dye, nasal, gingival bleeding more than,