1病历摘要患者男,49岁。主因间断皮肤出血点19年,转移性右下腹痛10d于2006-09-02入院。患者于入院前19年无明显诱因出现皮肤散在出血点,以四肢及腹部为著,无牙龈出血及黑粪、血尿,无发热、乏力等症状,查血常规示血小板(PLT)50×109/L,白细胞(WBC)及红细胞(RBC)正常,就诊于外院, 1 patient summary Male patient, 49 years old. The main cause of intermittent skin bleeding for 19 years, metastatic right lower abdominal pain 10d 2006-09-02 admission. There was no apparent predisposition to the patient 19 years before admission. Bleeding of the skin occurred on the extremities and abdomen with no gum bleeding and no excretion of hematuria, hematuria, fever, fatigue and other symptoms. Blood samples were collected for platelet (PLT) 50 × 109 / L, white blood cells (WBC) and red blood cells (RBC) normal, treatment in the outer court,