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患者,女,63岁。因头痛、乏力6天,加重伴全身皮肤瘀斑、呕血4天,于2000年7月5日入院。患者于入院前6天因着凉发热、头痛、乏力不适,在当地一卫生所诊断为“上呼吸道感染”,予阿司匹林片1.0 g,1日3次口服,2天后忽然出现臀部散在性皮肤紫癜,约4.5 cm×2.5 cm不等,形态不规则,双侧对称,渐累及颜面、四肢等。且呕咖啡色物。入院查体:体温38.7℃,血压18/9 kPa(1 kPa=7.5 mmHg),神清,精神差。全身皮肤粘膜广泛出血点、瘀斑,表面略高出皮肤,呈密集粟粒样,压之不褪色,
Patient, female, 63 years old. Due to headache, fatigue for 6 days, aggravating with systemic skin ecchymosis, hematemesis 4 days, on July 5, 2000 admission. Patients in the first 6 days before admission because of cold fever, headache, fatigue, discomfort, at a local clinic diagnosed as “upper respiratory tract infection” to aspirin tablets 1.0 g, 3 times on the 1st orally, 2 days after the sudden appearance of buttocks in the skin purpura, About 4.5 cm × 2.5 cm range, irregular shape, bilateral symmetry, gradually and facial, limbs and so on. And vomit coffee. Admission examination: body temperature 38.7 ℃, blood pressure 18/9 kPa (1 kPa = 7.5 mmHg), God clear, poor spirit. General skin and mucous membrane bleeding point, ecchymosis, the surface slightly higher than the skin, was dense miliary-like, the pressure of fade,