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血友病为一种比较少见的出血性疾病,通常合并有骨关节改变。为了从X线诊断上加以认识,特将作者遇到的二例,结合文献资料报告如下。 例1:男,13岁,双膝关节肿胀疼痛,局部无发热发红,步行较艰难,以往有不明原因齿龈及鼻腔出血病史。体查:发育及营养差,心肺无异常,肝脾未触及,二侧膝关节肿胀,以右侧为明显,并有波动感,浮髌试验阳性,关节穿剌为血性液。实验室检查:白细胞6.5×10~(?)/L,中性66％,淋巴360％,血小板200×10~(?)/L,出凝血时间明显延长。
Hemophilia is a relatively uncommon hemorrhagic disease, usually associated with bone-joint changes. In order to learn from the X-ray diagnosis, especially the author encountered two cases, combined with the literature reported as follows. Example 1: Male, 13 years old, with swelling and pain in both knees, local fever and redness, walking more difficult, past history of unexplained gums and nasal bleeding. Physical examination: poor development and nutrition, no abnormal heart and lung, liver and spleen not touched, swelling on both sides of the knee to the right obvious, and a sense of volatility, floating patella test was positive, the joint puncture for bloody fluid. Laboratory tests: white blood cells 6.5 × 10 ~ (?) / L, 66% of neutral, lymphatic 360%, platelets 200 × 10 ~ (?) / L, the coagulation time was significantly longer.