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患儿女,4岁.鼻衄,皮肤出现出血点伴微热、纳果及恶心呕吐3天于1990年8月10日入院,吐黯红色胃内容物3次,解黑便1次.检测血小板70×10~9/L,初诊为特发性血小板减少性紫癜(ITP).病前无服药史.患儿平素体健.预防接种按当地规定进行.父母非近亲婚配,体健.入院时体检:T38.2℃,P120次/分,R32次/分,体重16kg.神志清,营养发育可.全身皮肤可见较多散在不对称分布的瘀斑、瘀点,压之不退色.浅表淋巴结无肿大.巩膜无黄染,鼻腔有血迹,鼻粘膜未见糜烂,咽充血,颈软,胸骨无压痛,心肺听诊正常.腹软,肝肋下1.0cm,剑突下3.0cm,质中,轻度触痛,脾肋下0.5cm,质中.四肢活动正常,神经系统无阳性体征.血Hb80g/L,血小板26×10~9/L,WBC4.4×
Pediatric, age 4 years old, epistaxis, bleeding on the skin with slight fever, nocturnal and nausea and vomiting 3 days admitted to the hospital on August 10, 1990, spit dark red stomach contents 3 times, solution of black will 1. Detection Platelets 70 × 10 ~ 9 / L, newly diagnosed as idiopathic thrombocytopenic purpura (ITP). Before the disease without medication history. Children with general physical health. Vaccination according to local regulations. Parents non-relatives marriage, physical health. Admission Physical examination: T38.2 ℃, P120 beats / min, R32 beats / min, weight 16kg. God clear, the development of nutrition can be seen in the whole body skin scattered more scattered ecchymosis, petechia, the pressure of the color. No lymph node enlargement of the sclera, scleral no yellow dye, nasal blood, nasal mucosa no erosion, pharyngeal congestion, neck soft, sternal no tenderness, cardiopulmonary auscultation normal. Abdominal soft, liver ribs 1.0cm, xiphoid 3.0cm, Quality, mild tenderness, 0.5cm spleen ribs, quality .Function of limbs normal, no positive signs of the nervous system.Hb80g / L, platelet 26 × 10 ~ 9 / L, WBC4.4 ×