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病历摘要男,25岁,因皮下出血点及淤血斑一个月,巩膜黄染8天,头痛3天于1988年12月25日入传染科。该患于一个月前在工作中接触环烷酸2天后,全身皮肤及口腔粘膜出现突起的淤血点,不发热亦无痒感,无鼻衄及齿龈出血。当地县医院诊为“过敏性紫癜”,经用抗炎、止血、抗过敏等治疗,症状部分缓解后出院。入院前8天,再次接触环烷酸后,皮肤出血复现且较前加重,并伴有乏力、恶心、呕吐、厌油食及巩膜黄染。尿如豆油色,并出现柏油便,但无腹痛,再次入县医院,仍按过敏性紫癜治疗,病情不见好转。入院前3天出现剧烈头痛,右下肢痛,且不敢伸直,
Medical summary Male, 25 years old, due to subcutaneous bleeding spots and congestion month, scleral yellow dye 8 days, headache for 3 days in December 25, 1988 into the Department of Infectious Diseases. The suffering from contact with naphthenic acid two days after work in the work, systemic skin and oral mucosa protruding congestion spots, no fever and no itching, no nose and gingival bleeding. The local county hospital diagnosed as “allergic purpura”, by anti-inflammatory, hemostatic, anti-allergic treatment, the symptoms were partially relieved and discharged. Eight days before admission, after re-exposure to naphthenic acid, the skin hemorrhage reappeared and exacerbated earlier, accompanied by fatigue, nausea, vomiting, greasy food and scleral yellow dye. Urine, such as soybean oil, and tar will appear, but no abdominal pain, once again into the county hospital, still according to allergic purpura treatment, the condition did not improve. 3 days before admission, severe headache, right lower extremity pain, and can not straighten,