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患者 女,14岁。因皮肤瘀斑5个月,于1997年7月16日入院。患者于1997年2月发现颈部皮肤瘀斑,4月发生鼻出血并逐渐加重,5月底因下肢疼痛但无关节痛,在当地医院X线片示双侧股骨有多个散在大小不等的斑片状透光区,骨皮质变薄,诊断为“骨纤维结构异常”。7月初因躯体及四肢皮肤出现多处大片紫斑,来本院就诊,以血小板减少性紫癜收入院。既往无多尿,无家族病史。体检:体温36.7℃,脉搏84次,呼吸17次,血压17/8 kPa。发育稍迟缓,营养中等,皮肤及巩膜无黄染,颈部、前
Female patient, 14 years old. Due to skin ecchymosis 5 months, on July 16, 1997 admission. Patients in February 1997 found that the neck skin ecchymosis, epistaxis occurred in April and gradually aggravated by the end of May due to lower extremity pain but no joint pain in the local hospital showed bilateral femur multiple radiographs scattered in different sizes Patchy translucent area, cortical thinning, diagnosed as “bone fiber structure abnormalities.” In early July because of body and limb skin appear large patches of purple, to our hospital, thrombocytopenic purpura income hospital. No previous history of polyuria, no family history. Physical examination: body temperature 36.7 ℃, pulse 84 times, breathing 17 times, blood pressure 17/8 kPa. Slightly delayed development, moderate nutrition, skin and sclera no yellow dye, neck, before