论文部分内容阅读
[例1]夏姓,女,18岁,住院号166823,患者于1975年10月有纳差、乏力、嗜睡感。在某医院验肝功能,SGPT400单住,黄疸指数9单位。诊断为急性黄疸型肝炎,住院治疗,于1976年1月30日痊愈出院。同年2月4日牙龈出血少许,口腔内有血泡,少量鼻衄,自觉双下肢发痒,搔之易出血,2月6日头部持续胀痛,8日晚呕吐数次为胃内容物,9日复查肝功能,SGPT43单位、总胆红质0.6毫克%以下,血常规:血红蛋白7.5克%,红细胞200万/立方毫米,白细胞1600/立方毫米,血小板16000/立方毫米,拟诊再障,2月10日骨髓检查提示再生低下,粒、红、巨核三系明显受抑制,造血功能极差,转来我院急诊观察室,当时验血常规:白细胞700/立方毫米,即脉滴庆大霉素、地塞米松。但齿龈出血不止,呕吐咖啡色液体约300毫升,
[Example 1] Xia name, female, 18 years old, hospital number 166823, patients with anorexia in October 1975, fatigue, sleepiness. Liver function test in a hospital, SGPT400 single-living, jaundice index 9 units. Diagnosis of acute jaundice hepatitis, hospitalization, January 30, 1976 cured and discharged. In the same year on February 4 a little bleeding gums, blood vesicles in the mouth, a small amount of epistaxis, consciously itchy lower limbs, scratching easily bleeding, February 6 head continued pain, vomiting on the 8th several times for the stomach contents , On the 9th review of liver function, SGPT43 units, total bilirubin 0.6 mg% or less, blood: 7.5 g% of hemoglobin, erythrocyte 2 million / cubic millimeter, white blood cells 1600 / cubic millimeter, platelet 16000 / cubic millimeter, , Bone marrow examination on February 10 prompted a low regeneration, granule, red, megakaryocytes significantly inhibited the three lines, poor hematopoietic function, transferred to our hospital emergency room, then blood test routine: white blood cells 700 / cubic millimeter, Taicangxin, dexamethasone. However, bleeding gums more than vomit brown liquid about 300 ml,