1　病例简介1 1　患者 1,男 ,7岁 ,1年前无明显原因出现双耳后肿物 ,伴耳廓红肿 ,以左耳为重 ,不痛 ,无发热 ,无牙龈出血及鼻衄 ,在外院未作明确诊断 ,给予青霉素、罗红霉素等多种抗生素治疗 ,效果不佳 ;后又出现颈部肿物 ,近 3个月出现面部及双下肢皮肤出血点 ,来本院就诊。经 1 case description 1 1 patients 1, male, 7 years old, no obvious cause of a year ago, there are two ears after the tumor, with ear swelling, with the left ear as the most important, no pain, no fever, no bleeding gums and epistaxis, In the hospital did not make a definitive diagnosis, given penicillin, roxithromycin and other antibiotics, the effect is not good; then appear neck mass, nearly 3 months, face and lower extremity skin bleeding point to our hospital. through