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1病例采集患者,女,73岁,因血尿7d、伴咳血1d入院。患者7d前出现肉眼血尿,当日未出现全身乏力,无尿频、尿急、尿痛,无意识障碍,无呼吸困难症状,故未及时就医。第6日出现咳血,鲜红,全身乏力、咽部疼痛就诊于县级医院,查凝血功能发现PT、APTT异常(数值不详),经当地医师指导转诊本院(河北省沧州中西医结合医院)呼吸科,后周身现散在瘀斑病情加重转入重症医学科。患者既往体健,无出血病史,无类似疾病家族史。实验室检查PT 72.4s,INR 6.03,APTT 93.6s,肝肾功能正常。经再三追问病史,家中今年4月份曾投放过鼠药,3d前曾
1 cases collected patients, female, 73 years old, 7d due to hematuria, with hemoptysis 1d admission. 7 days before the onset of gross hematuria, the day there is no generalized fatigue, no urinary frequency, urgency, dysuria, unconsciousness, no symptoms of breathing difficulties, it is not timely medical treatment. On the 6th, blood stained, bright red, generalized weakness and pharyngeal pain were observed in the county hospitals. The PT and APTT abnormalities were found in coagulation tests (the data were not available). The doctors referred by the local physicians (Hebei Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine ) Department of Respiratory, after the whole body is scattered scattered in ecchymosis disease transferred to the Department of Critical Care Medicine. Past patient health, no history of bleeding, no family history of similar diseases. Laboratory tests PT 72.4s, INR 6.03, APTT 93.6s, liver and kidney function was normal. After repeatedly asking history, at home in April this year has been put rat poison, 3d ago