论文部分内容阅读
1 病例报告 例1 男,11岁,因全身皮肤出血点1周,腹痛、黑便2天入院。查体:体温36.7℃。全身皮肤遍布米粒大小出血点,偶有融合成片。咽部充血。全腹压痛阳性,无反跳痛。实验室检查:尿常规:尿蛋白(++)RBC(+)。血常规:WBC18.6×10~9/L,中性0.75,血小板140×10~(12)/L。血红蛋白112g/L。诊断:过敏性紫癜(混合型)。给予扑尔敏口服等对症治疗。入院后第7天患儿突然四肢抽搐,意识不清。查体:右侧瞳孔6.0mm,左侧瞳孔3.0mm,对光反射消失。四肢肌力正常。CT显示右侧额叶出血。经脱水、镇静治疗后好转出院。
1 case report 1 male, 11 years old, due to systemic skin bleeding for 1 week, abdominal pain, melena 2 days admission. Physical examination: body temperature 36.7 ℃. Whole body skin all over the grain size bleeding point, occasional fusion into pieces. Pharyngeal congestion. Full abdominal tenderness positive, no rebound tenderness. Laboratory tests: Urine: Urinary protein (++) RBC (+). Blood: WBC18.6 × 10 ~ 9 / L, neutral 0.75, platelets 140 × 10 ~ (12) / L. Hemoglobin 112g / L. Diagnosis: Allergic purpura (mixed type). Give chlorpheniramine and other symptomatic treatment. On the 7th day after admission, the child suddenly felt limbs twitch, unconsciousness. Physical examination: the right pupil 6.0mm, the left pupil 3.0mm, the light reflection disappears. Limb muscle strength is normal. CT showed right frontal lobe hemorrhage. After dehydration, sedation after treatment was discharged.