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本文报道一例巨大血管瘤-血小板减少综合征(Kasabach-Merritt 综合征)如下:陈某某,男,22岁.患者自幼腹部较正常儿童为大,近半年逐渐感到腹部急剧增大伴沉重感,于1987年7月18日以腹腔肿块住院.体检:发育营养正常,淋巴结不肿大.心肺(-),左胸背部可见4×10cm 左右片状紫瘢伴毛细血管扩张.腹部高度膨隆,可触及12×24×26cm 巨大肿块,质硬,部份囊性感,边界不清.无移动性浊音,听诊无血管杂音.双下肢高度非凹性水肿,伴紫红色浅表静脉曲张.化验:Hb62g/L,WBC4×10~9/L,BPC42×10~9/L.肝肾功能正常.AKP6.4u(金氏),
This article reports a case of giant hemangioma - thrombocytopenia syndrome (Kasabach-Merritt syndrome) are as follows: Chen Moumou, male, aged 22. The patient’s abdomen than normal children for large, almost six months gradually felt a sharp increase in the abdomen with heavy feeling, In July 18, 1987 to the abdominal mass hospitalization.Physiological examination: normal developmental nutrition, lymph node enlargement.Cardiac lung (-), left chest back 4 × 10cm or so visible sheet purple scar with telangiectasia.Abdominal bulge may be Touch 12 × 24 × 26cm huge mass, hard, some cystic sexy, unclear boundary .No dullness of movement, auscultation without vocal murmur.High non-concave edema of both lower extremities, with purple superficial varicose veins.Check: Hb62g / L, WBC4 × 10 ~ 9 / L, BPC42 × 10 ~ 9 / L. Liver and kidney function is normal.AKP6.4u (Kim),