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例1、2,男、女各1例,年龄7岁,11岁。分别以咳嗽、乏力、鼻衄数周、发热一周,发热伴皮肤出血点2个半月为主诉入院。查体:一般情况差,全身皮肤散在出血点及淤斑1例,鼻腔出血1例,全身表浅淋巴结肿大2例,右肺可闻湿罗音1例,肝右肋下2～2.5cm,脾肋下1～2cm,外周血血红蛋白70～80g/L,白细胞0.8～4.8×10~9/L,中性粒细胞4～72％,淋巴细胞28～96％,血小板1.4～40×10~9/L,网织红细胞1例为0.3％,骨髓象均示增生活跃,噬血细胞易见,1例粒系占11％增生减低,有成熟障碍,全片见巨核细胞74个,有成熟障碍,血小板少见,1例查肝功谷丙转氨酶60u,嗜异凝集试验1:56。
Cases 1, 2, male and female in 1 case, aged 7 years old, 11 years old. Respectively, cough, fatigue, epistaxis for weeks, fever a week, fever with skin bleeding point two and a half months mainly for admission. Physical examination: poor general condition, systemic skin scattered bleeding point and ecchymosis in 1 case, nasal bleeding in 1 case, systemic superficial lymph node enlargement in 2 cases, the right lung can smell wet rales in 1 case, liver right ribs 2 ~ 2.5cm , Spleen ribs 1 ~ 2cm, peripheral blood hemoglobin 70 ~ 80g / L, leukocytes 0.8 ~ 4.8 × 10 ~ 9 / L, neutrophils 4 ~ 72%, lymphocytes 28 ~ 96%, platelets 1.4 ~ 40 × 10 ~ 9 / L, reticulocyte in 1 case was 0.3%, bone marrow showed hyperplasia, hemophagocytic cells were easy to see, a case of granuloma accounted for 11% of hyperplasia reduced, there are mature disorders, the whole piece of megakaryocytes see 74, mature Obstacles, platelet rare, 1 case of liver function test Alanine aminotransferase 60u, addicted to different coagulation test 1:56.