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李某,女,32岁,农工,自1978年起,反复全身皮肤青紫.1981年病情加重,月经量多,用强的松及止血药物可缓解。体温37.3℃,巩膜轻度黄染,全身皮肤粘膜可见数处3～4 cm 小紫癜,粟粒样出血点及血泡.肝肋下2 cm、剑突下3 cm、质中,脾可触及.血红蛋白4.8克,白细胞8000,分类正常。血小板16000。网织红细胞5.1%,出血时间1分,凝血时间2分,尿蛋白(一),尿胆红质(一),尿胆原(+)。骨髓象:粒系正常。原红2.8%,早幼红7.8%,中幼红24.0%,晚幼红11.2%,淋巴细胞9%,单核细胞0.6%,浆细胞0.4%,
Lee, female, 32 years old, agricultural workers, since 1977, repeated systemic skin bruising. In 1981, the condition worsened, menstrual volume, with prednisone and hemostatic drugs can be alleviated. Body temperature 37.3 ℃, scleral mild yellow dye, the body skin and mucous membrane can be seen a few 3 ~ 4 cm small purpura, miliary hemorrhage and blood bank. Liver ribs 2 cm, 3 cm under the xiphoid, the quality of the spleen can be touched. 4.8 grams of hemoglobin, 8000 white blood cells, normal classification. Platelets 16,000. Reticulocyte 5.1%, bleeding time 1 minute, clotting time 2 points, urinary protein (a), urinary bilirubin (a), urinary bile original (+). Bone marrow: normal grain. 2.8% of the original red, 7.8% of young red, 24.0% of young red, late red 11.2%, 9% of lymphocytes, 0.6% of monocytes, 0.4% of plasma cells,