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1 病例摘要患者何某,男,44岁,干部,1961年因皮肤出血点、牙龈出血,在中山医学院附属医院就医,诊断为原发性血小板减少性紫癜,用强的松治疗,症状好转。此后常反复有类似发作,每次发作用强的松治疗能控制。本次发病前三天因“上感”服头孢霉素Ⅳ二天共10片,三天后自觉头昏乏力以致昏倒。因皮肤擦伤在海口市某医院外科住院治疗,次日出现高热黄疸。因诊断不明于87年8月转我院。既往无黄疸反复发作病史。家族中无类似病史。体检:体温39.8℃,血压100/60mmHg,意识蒙胧,巩膜明显黄染,皮肤呈柠檬色,睑结膜,指甲苍白,右肘关节屈侧可见1×
1 case summary He Mou, male, 44 years old, cadres, bleeding in 1961 due to skin, bleeding gums, Zhongshan Hospital Affiliated Hospital for medical treatment, diagnosis of idiopathic thrombocytopenic purpura treated with prednisone, the symptoms improved. Since then often have similar attacks, each episode of prednisone treatment can be controlled. Three days before the onset of “feeling” serving cephalosporin IV two days a total of 10, three days later, consciously dizzy and fainting. Due to skin abrasions in a hospital in Haikou City, surgical treatment, fever jaundice the next day. Unknown because of the diagnosis in August 87 transferred to our hospital. Past history of recurrent absence of jaundice. No similar family history. Physical examination: body temperature 39.8 ℃, blood pressure 100 / 60mmHg, hazy consciousness, scleral obvious yellow dye, the skin was lemon, conjunctiva, pale nails, right elbow flexion can be seen 1 ×