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患者女,35岁,因头痛、头晕、全身不适、双下肢阵发性疼痛、短暂性昏迷3天就诊于1992年7月9日。既往有偏头痛、神经衰弱、甲亢病史,起病多有劳累、失眠等诱因。患者每感双下肢疼痛就出现昏迷,可持续15～30分钟,股内侧即起淤斑。化验尿常规RBC(+～++),病史3年,曾先后被诊为过敏性紫癜、特发性紫癜。查体:神志清,体温不高,浅表淋巴结(-)。双股内侧见有大小不等之红色、紫色和青紫色淤斑数块,非对称性,不高出皮肤,压之不退色,有触痛。Hb110g/L,WBC4.7×10~9/L,N0.67, L0.33,PC150×10~9/L,RC0.1,出血时间 1min,凝血时间 2 min,毛细血管脆性试验、FDP及3 P试验均(-).
Female patient, 35 years old, due to headache, dizziness, general malaise, paroxysmal pain in both lower extremities, transient coma 3 days visit July 9, 1992. Past migraines, neurasthenia, history of hyperthyroidism, onset and more exertion, insomnia and other incentives. Patients with each sense of lower extremity pain coma, sustainable 15 to 30 minutes, the stock that is from the inner side of ecchymosis. Laboratory urine routine RBC (+ ~ + +), history of 3 years, has been diagnosed as anaphylactoid purpura, idiopathic purpura. Examination: Conscious, body temperature is not high, superficial lymph nodes (-). Double-sided see the size of the red, purple and purple ecchymosis several blocks, asymmetry, not higher than the skin, the pressure does not fade, tenderness. Hb110g / L, WBC4.7 × 10-9 / L, N0.67, L0.33, PC150 × 10-9 / L, RC0.1, bleeding time 1min, clotting time 2min, capillary fragility test, FDP and 3 P test (-).