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1病历摘要女,9岁,学生。因间断腹痛10d、加重1d来诊。患者曾于10d前食用大量海虾,7d前双手臂出现散在淡红色皮下出血点(小米粒大小),并出现低热。5d前在外院查全血细胞检测、网织红细胞检测、凝血三项、血小板聚集试验,结果未见异常,腹痛减轻,医生建议随诊观察,未给予药物治疗。3d前皮疹消失,仍有腹痛,就诊中医服用中药治疗,症状无缓解,近1d腹痛加重,疼痛部位在脐周,遂来门诊。查体:T 36.7℃,咽部
1 medical record summary female, 9 years old, student. Due to intermittent abdominal pain 10d, increase 1d to diagnosis. The patient had consumed a large amount of shrimp before 10 days, and scattered pinkish subcutaneous hemorrhage (millet size) appeared on both arms 7 days before the onset of fever. 5d before the whole hospital check the whole blood cell test, reticulocyte test, coagulation, platelet aggregation test, the results showed no abnormalities, abdominal pain, the doctor recommended follow-up observation, no medication. 3d before the rash disappeared, there are still abdominal pain, Chinese medicine treatment taking traditional Chinese medicine treatment, no symptoms, nearly 1d abdominal pain, pain in the umbilical weeks, then come out. Physical examination: T 36.7 ℃, pharynx