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患者,女,十九岁,1981年10月10日住院.患者自1979年9月起发现腹部膨隆,并感腹胀、乏力、心悸,尤在活动后心悸、胸闷气促加剧,经常出现皮下淤斑,但从未出现黄疸,小便也无异常。查体:皮肤巩膜无黄染,两下肢可见皮下淤斑,浅表淋巴结未触及,心肺正常,腹部稍膨,肝肋下3厘米、质中、光滑无触痛,脾脐下3厘米、质硬,其它无异常.实验室检查:红细胞182万,血色素5.5克。白细胞2900,中性70%,淋巴28%,酸性2%,血小板5.8
The patient, female, 19 years old, was hospitalized on October 10, 1981. The patient had abdominal distension since September 1979 and felt bloating, weakness and heart palpitations. Palpitation and chest tightness escalated after the activity, Spot, but never jaundice, no abnormal urine. Physical examination: sclera skin without yellow dye, both lower extremity subcutaneous ecchymosis, superficial lymph nodes not touched, normal heart and lungs, slightly swollen abdomen, liver ribs 3 cm, quality, smooth, tenderness, spleen umbilical 3 cm, quality Hard, no other abnormalities. Laboratory tests: 1.82 million red blood cells, 5.5 grams of hemoglobin. WBC 2900, Neutral 70%, Lymph 28%, Acid 2%, Platelet 5.8