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宋××,男,14岁,吴堡县人,住院号29200。患儿六月前接种牛痘,4、5天后开始出现颜面浮肿、尿少,经县医院确诊为肾炎,住院月余,浮肿消退,但尿化验尚未完全正常出院。两日后于进食时突觉咽喉不适,随即呕出棕褐色血块,内有烂肉样物一团,继之又呕鲜红色血数口,最后呕出所进食物。不发烧,大小便正常。查体T37℃,R30次/分,P124次/分,BP120/80mmHg。发育营养中等,精神欠佳,眼脸无明显浮肿,鼻、口腔粘膜光滑无出血斑点,咽部稍发红,扁桃体不大。气管居中,颈部甲状软骨偏左处皮肤有0.2×0.5cm之紫斑。心、肺、腹无明显异常。化验血常规,肝、肾功均正常;尿常规:蛋白++,红细胞+;血沉65mm/小时。治疗入院后即用抗菌素,然体温逐渐升
Song XX, male, 14 years old, Wubao County, hospital number 29200. Children vaccinated with vaccinia six months ago, 4,5 days after the onset of facial edema, oliguria, the county hospital diagnosed as nephritis, hospitalized more than months, edema subsided, but the urine test has not yet fully normal discharge. Two days later, he suddenly felt throat discomfort when eating, and then vomit a brown blood clot. There was a sample of rotten meat samples, followed by vomiting of red blood and vomiting, finally vomiting the food. No fever, normal urine. Physical examination T37 ℃, R30 beats / min, P124 beats / min, BP120 / 80mmHg. Development of moderate nutrition, poor health, no obvious edema eye face, nose, oral mucosa smooth no bleeding spots, pharynx a little red, tonsil is not big. Central trachea, neck thyroid cartilage left the skin with 0.2 × 0.5cm of purple spots. Heart, lung, abdomen no obvious abnormalities. Laboratory blood tests, liver and kidney function were normal; urine routine: protein ++, red blood cells +; erythrocyte sedimentation rate 65mm / hour. After treatment, antibiotics are used, but body temperature gradually rises