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男患儿,7岁,住院号1108。因腹痛、便血及四肢皮肤出血点三天,于1978年9月7日以“过敏性紫癜”收入院。当时一般状态尚可,心肺无异常,肝脾不大。腹部平软,压痛(+),反跳痛(-),肠音略亢。双上下肢皮肤均可见大小不等、新旧相间的出血点及瘀斑,略突出皮肤,以伸侧为著且呈对称分布。周身无浮肿,关节不肿胀。化验:血小板20万,出血时间2分,凝血时间30秒,白细胞11400。大便:红细胞(++++),白细胞(+)。尿:蛋白微量,红细胞2—3。入院后予肾上腺皮质激素、抗感染、止血及对症治疗。6天后腹痛消失,便血停止,无新鲜出血点出现。9月13日夜11时,患儿又突然腹部剧痛,便血水约一痰桶。检查:体温37.1℃,脉搏140次/分,血压75/50毫米汞柱,心尖闻Ⅱ级缩鸣音,心律齐。腹平软,
Male child, 7 years old, hospital number 1108. Due to abdominal pain, blood in the stool and extremities bleeding for three days, on September 7, 1978 to “allergic purpura” income hospital. At that time the general state is acceptable, no abnormal heart and lung, liver and spleen is not large. Abdomen soft, tenderness (+), rebound tenderness (-), intestinal tone slightly hyperactivity. Both upper and lower extremity skin are visible in different sizes, old and new bleeding spots and ecchymosis, slightly prominent skin, with extensor side and the symmetrical distribution. Whole body without edema, joint swelling. Laboratory tests: 200,000 platelets, bleeding time 2 minutes, clotting time 30 seconds, white blood cells 11,400. Stool: red blood cells (++++), white blood cells (+). Urine: protein trace, red blood cells 2-3. After admission to the adrenal cortex hormones, anti-infection, bleeding and symptomatic treatment. Abdominal pain disappeared after 6 days, blood in the stool stopped, no fresh bleeding appeared. At 11 o’clock on the September 13th, the child suddenly had a severe abdominal pain, and bloody stools were about to sputum. Check: body temperature 37.1 ℃, pulse 140 beats / min, blood pressure 75/50 mm Hg, apex acuminating Ⅱ level systolic tone, heart rate Qi. Abdomen soft,