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患者男,8岁,病案号95646。患儿因牙龈出血、鼻衄十余天,面色苍白,四肢瘀斑一周于1980年6月7日入院。入院前牙龈反复出血,肿胀疼痛,睡眠时顺口角流血性分泌物,多次鼻衄血量不多。入院前七天四肢出现瘀斑,面色苍白,纳差乏力,发热咳嗽,曾服土霉素维生素C等治疗。既往史:父母健在,兄妹4人,其兄及小妹皆从1岁左右发生唇指趾青紫,经检查确诊为高铁血红蛋白血症,服美兰、维生素C,紫绀消失。查体:体温37℃,脉搏122次/分,呼吸32次/分,营养欠佳,贫血貌,皮肤无黄染。口唇颊粘膜及指趾
Patient male, 8 years old, medical record number 95646. Bleeding gums in children, epistaxis more than ten days, pale, limb ecchymosis week in June 7, 1980 admitted. Repeated bleeding gums before admission, swelling and pain, bloody discharge Shun bouton, multiple epistaxis blood volume. Seven days before admission, ecchymosis, pale face, poor appetite, fever and cough, had been treated with oxytocin and vitamin C. Past history: Parents are alive, brother and sister 4, his brother and sister are from 1 year old lip toe bruising occurs, after examination confirmed methemoglobinemia, serving meilan, vitamin C, cyanosis disappeared. Physical examination: body temperature 37 ℃, pulse 122 beats / min, breathing 32 beats / min, poor nutrition, anemia appearance, skin yellow dye. Lip buccal mucosa and digit toe