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例一男,19岁。因全身皮肤紫癜8天,腹痛3天于1991年1月28日入院。既往史无特殊。查体:T36.3℃,R20次/分,全身皮肤散在暗红色紫癜,高起皮肤,以臀部及四肢伸侧最多。心肺正常,脐周压痛。实验室检查:Hb110g/L,WBC10.5×10~9/L,分类正常,BPC160×10~9/L.ESR 6mm/h,出凝血时间正常。尿蛋白(++),红细胞(++),白细胞(+)。大便镜检:红细胞(+++)。肾功能,免疫球蛋白均正常。诊断为过敏性紫癜(混合型)。住院经过:入院后给以抗生素、肾上腺皮质激素、抗组织胺等药物治疗,紫癜仍分批出现。入院第
A male, 19 years old. 8 days due to systemic skin purpura, abdominal pain for 3 days in January 28, 1991 admission. No previous history. Physical examination: T36.3 ℃, R20 beats / min, body skin scattered in purpura purpura, high skin, the buttocks and limb extensor side up. Cardiopulmonary normal, umbilical tenderness. Laboratory tests: Hb110g / L, WBC10.5 × 10 ~ 9 / L, normal classification, BPC160 × 10 ~ 9 / L.ESR 6mm / h, the clotting time was normal. Urinary protein (++), erythrocytes (++), leukocytes (+). Stool microscopy: red blood cells (+++). Renal function, immunoglobulin are normal. Diagnosis of anaphylactoid purpura (mixed type). After hospitalization: Admission to antibiotics, adrenal cortex hormones, antihistamines and other drugs, purpura still appear in batches. Admission to the first