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高×,男,15岁,住院号94671。患者于入院前一个月服驱虫丹[注]30粒,未排出蛔虫。半月前又服驱虫丹45粒,第二次服药后两天,患者双小腿胀痛,皮肤发痒,双小腿皮肤可见出血点,腹痛并排黑色稀便,入院前八天四肢关节胀痛,双上肢亦见出血点。于1981年3月27日入院。既往体健,无药物过敏史及荨麻疹史。体检:体温37.5℃,脉搏108,血压100/70,双上肢肘关节以下皮肤可见少量散在的出血点,双下肢膝关节附近及其以下皮肤出血点较多,大部分已融合成片,压之不退色,略高出皮面,四肢关节轻度肿胀,具压痛。心肺正常,腹软,无明显压痛,肝肋下约2厘米,质
High ×, male, 15 years old, hospital number 94671. Patients in the month before admission, paraquat Dan [Note] 30, did not discharge roundworms. Half a month ago and repluble 45 pills, the second two days after taking the medication, patients with double lower leg pain, itchy skin, double calf skin bleeding, abdominal pain side by side black loose stools, eight days before admission, joint pain, limbs, See bleeding on both upper limbs. March 27, 1981 admission. Past physical health, no history of drug allergy and urticaria. Physical examination: body temperature 37.5 ℃, pulse 108, blood pressure 100/70, the upper extremity elbow joints visible a small amount of scattered skin bleeding, lower extremity near the knee and below the skin bleeding more, most of the integration into a film, the pressure Not fade, slightly higher than the skin, limbs mild swelling, tenderness. Cardiopulmonary normal, abdominal soft, no tenderness, liver ribs about 2 cm, quality