患者女,32岁。因间断呕吐伴上腹痛10余天,皮肤瘀点瘀斑1周,于2004年3月3日入院,患者入院前10余天,无诱因出现恶心,呕吐,伴上腹痛,阵发加剧,无规律性,无发热。于入院前1周,出现皮肤瘀点瘀斑,压之不褪色,由双足背向上延伸至双下肢(伸侧为主)、双上肢、胸背部,对称分布,针尖大小,无瘙痒,不伴关节痛,无肉眼血尿。患者入院后查血常规及血涂片嗜酸性细胞计数等均正常;尿常规示红细胞15-20/HP,蛋白阴性;粪隐血(++++);ANA、dsD-NA、ENA、肾功能、免疫球蛋白、蛋白电泳等均正常;肝功能 Female patient, 32 years old. Due to intermittent vomiting with abdominal pain for more than 10 days, skin petechia eczema for 1 week, on March 3, 2004 admission, patients admitted to hospital more than 10 days, no incentive for nausea and vomiting, accompanied by abdominal pain, intermittent exacerbations, irregular , No fever. 1 week before admission, there was ecchymosis of the skin petechiae and no pressure fading. It extended upward from both feet to both lower extremities (extensor-dominated). Both upper extremities, chest and back, symmetrical distribution, tip size, no pruritus, no With joint pain, no gross hematuria. Patients admitted to the hospital routine blood test and blood smear eosinophil count were normal; urine showed red blood cells 15-20 / HP, protein negative; fecal occult blood (++++); ANA, dsD-NA, ENA, renal function , Immunoglobulin, protein electrophoresis Dengjun normal; liver function