病历摘要孙××,男,2岁。于一个月前因左下眼睑出现紫癜,某院曾诊断为血小板减少性紫癜。因病情加重,于1981年3月11日入我院。发病初期左下眼睑有一黄豆粒大之紫癜,后逐渐扩展到双侧上、下眼睑,并出现食欲不振,面色苍白,腹部逐渐增大。该患为足月第一胎顺产,病前未用特殊药品。体检:体温37.6,脉搏132。呼吸急促,发育、营养中等,精神萎靡,嗜睡,面色苍白,呈慢性重病容,双侧上下眼睑均为深紫色出血性紫癜,双颞侧均有约3×4cm略突出于皮肤之青紫瘀斑。浅表淋巴结不肿大;颈软,双肺呼吸音正常,心界略向左侧扩大,心率132,律整,心尖部可闻及Ⅱ级缩鸣;腹部明显膨隆,腹壁可见浅表静脉,肝下 Medical record Sun × ×, male, 2 years old. A month ago because of the left lower eyelid purpura, a hospital had been diagnosed as thrombocytopenic purpura. Due to aggravating illness, on March 11, 1981 into our hospital. The early onset of the lower left eyelid has a large soybean granules purpura, and then gradually extended to both sides, the lower eyelid, and appetite, pale, abdomen gradually increased. The suffering from first-term full-term pregnancy, no special medication before the illness. Physical examination: body temperature 37.6, pulse 132. Shortness of breath, development, moderate nutrition, apathetic, drowsiness, pale, chronic severe disease, both upper and lower eyelids are deep purple hemorrhagic purpura, both temporal sides are about 3 × 4cm slightly prominent in the skin bruising . Superficial lymph nodes is not enlarged; soft neck, lungs normal breathing, the heart slightly to the left to expand the heart rate 132, law, the apex can be heard and Ⅱ grade Ming; abdomen bulging, abdominal superficial veins can be seen, Under the liver