我院遇见1例原发性纯巨核细胞再生障碍性血小板减少性紫癜,现介绍如下。张××,男性,25岁,工人,住院号28172。1982年11月间因全身皮肤出现散在性紫癜而入院。患者反复出现鼻衄1年,近半月全身皮肤出现淤点和淤斑,尤以下肢为甚,伴痒感。近5天齿龈持续出血,不发烧,无关节疼痛,无腹病、腹泻、呕血、便血及咯血。患者平素身体健康,无肝病及出血史(包括家族)。体检:体温38℃,脉搏69次/分,血压120/80mmHg。严重贫血貌,全身皮肤及粘膜苍白,可见散在的大小不等的紫癜及大片状淤斑。全身表浅淋巴结不肿大,右耳渗鲜血,心率69次/分,律齐, Met in our hospital to see a case of primary pure megakaryocyte aplastic thrombocytopenic purpura, are described below. Zhang × ×, male, 25 years old, workers, hospital number 28172. In November 1982 due to systemic skin purpura purpura and hospitalization. Epistaxis in patients with repeated 1 year, nearly half of systemic skin disease and ecchymosis, especially in the lower limbs, with itching. Nearly 5 days continuous bleeding gums, no fever, no joint pain, no abdominal disease, diarrhea, vomiting, blood in the stool and hemoptysis. Patients usually healthy, no liver disease and history of bleeding (including family). Physical examination: body temperature 38 ℃, pulse 69 beats / min, blood pressure 120 / 80mmHg. Severe anemia appearance, body skin and mucous membrane pale, visible scattered in varying sizes of purpura and large ecchymosis. Whole body superficial lymph nodes are not swollen, right ear osmotic blood, heart rate 69 beats / min, law Qi,