病历摘要患儿高××,男性,1岁,江苏人,住院号60960,因面色苍黄二十余天,两颞部肿大,大便发黑十多天、昏迷二天于1958年4月21日急诊入院。据其母诉患儿于一月前曾有发烧、咳嗽,注射青霉素三天后稍好,但以后仍有不规则发烧、精神不好,嗜睡,面色苍黄。十多天来两颞部肿大,大便发黑如煤焦油样,每日1—2次,食欲很差。4月12日曾在某医院检查白血球4,100,中性12%,淋巴85%,大单核3%,血小板5万,出血时间20分钟,凝血时间6分钟,网状血球未找到,在验血刺孔处渗血不止,针尖处亦成紫斑。近一周来气喘,神志不清,齿龈出血,眼球突出。近二日昏迷,两手有轻度抖动。过去史,家庭史无特殊。体格检查:体温37.4℃,脉搏123次/分,呼吸52次/分,身长80厘米,体重8千克。发育营养中等,神志不清,呼吸稍快。全身皮肤苍白微黄,前胸及上腹部各有一块约1平方厘米之瘀斑。下颌及腋窝部可触 Medical history summary Children with high × ×, male, 1 year old, Jiangsu, inpatient number 60,960, due to looking pale yellow more than 20 days, two temporal enlargement, black stool more than 10 days, coma for two days in April 21, 1958 Emergency admission. According to its mother complained of children in January had a fever, cough, injection of penicillin slightly better after three days, but there are still irregular fever, poor health, lethargy, pale yellow. Twelve days to two temporal enlargement, stool black as coal tar, 1-2 times a day, poor appetite. April 12 had a white blood cell in hospital check 4,100, 12% neutral, 85% lymphatic, large mononuclear 3%, 50000 platelets, bleeding time 20 minutes, clotting time 6 minutes, reticular blood cells not found in the blood test Puncture at the bleeding, the tip is also purple spots. Nearly a week to asthma, unconscious, bleeding gums, prominence. Nearly two days in a coma, both hands have a slight jitter. Past history, family history is no special. Physical examination: body temperature 37.4 ℃, pulse 123 beats / min, breathing 52 beats / min, body length 80 cm, weight 8 kg. Moderately developed nutrition, confusion, breathing slightly faster. Body pale pale yellow, chest and upper abdomen have a piece of about 1 square centimeter ecchymosis. Jaw and armpit can touch