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患者,女性,36岁。因反复鼻衄、牙龈出血、皮肤紫癜、月经过多10年,病情加重4天入院。患者10年前初发上述症状在本院诊断为原发性血小板减少性紫癜(ITP),经强的松治疗取得显效,但此后病情复发,虽以强的松长期维持仍未缓解。入院前4天鼻腔出血不止,经当地输血等治疗后转入我院。体检:重度贫血貌,周身皮肤多处淤点淤斑,右鼻腔渗血少量,肝脾无肿大。血象:Hb59g/L,WBC11.6×10~9/L,BPC 20×10~9/L,
Patient, female, 36 years old. Due to repeated epistaxis, bleeding gums, purpura skin, menorrhagia for 10 years, 4 days admitted to hospital. Patients 10 years ago, the initial onset of the above symptoms in our hospital diagnosed as idiopathic thrombocytopenic purpura (ITP), prednisone achieved remarkable results, but after the recurrence of the disease, although long-term maintenance of prednisone has not yet been alleviated. Nasal bleeding more than 4 days before admission, transfusions and other local transfusion into our hospital. Physical examination: severe anemia appearance, multiple skin spots around the ecchymosis, a small amount of right nasal bleeding, liver and spleen no swelling. Blood: Hb59g / L, WBC11.6 × 10 ~ 9 / L, BPC20 × 10 ~ 9 / L,