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拔牙后大量出血,大多数患者属于局部凝血障碍,但也可能与血液系统疾患有关。本文报导一例诊断为奎宁诱发的血小板减少症。患者女,71岁。4天前夜间醒来感到口腔有血腥味,3天前发现皮肤紫斑,大便表面有血点。有慢性支气管炎及关节炎史,长期服用平喘药物。本人既往无过敏史,家族无出血史。查体:急性病容。躯干、四肢、面部及颈部皮肤现瘀斑和点状出血。口腔检查:唇、舌、颊部及上颚枯膜破裂,有出血性大疱及瘀斑。并有自发性牙龈
A large number of bleeding after tooth extraction, most patients with local coagulation disorders, but may also be related to blood diseases. This article reports a case of quinine-induced thrombocytopenia. Female patient, 71 years old. 4 days ago woke up to feel the smell of blood in the mouth, 3 days ago found purple skin, stool surface blood. Chronic bronchitis and arthritis history, long-term use antiasthmatic drugs. My previous history of allergy, family history of bleeding. Physical examination: acute disease. Trunk, limbs, face and neck skin is now ecchymosis and punctate bleeding. Oral examination: lips, tongue, cheek and maxillary membrane blight rupture, bleeding hemorrhoids and ecchymosis. And have spontaneous gums