论文部分内容阅读
患者男,15岁。因头昏1天、呕血2小时(呕血1次,量约400ml,暗红色,带血块)于1987年8月25日入院。自幼有反复鼻衄史,8岁时曾手术切除鼻尖部一“毛细血管瘤”,否认肝病史及大出血史。体检:贫血貌,血压100/60mmHg,脉搏128次/分,呼吸20次/分。颜面、左右耳廓、颈部和右手背部皮肤均见大小不等的紫红色斑块,不高出皮肤,压之退色。双肺未见异常。心率128次分/,律齐,心尖区
Male patient, 15 years old. Due to dizziness 1 day, hematemesis 2 hours (hematemesis 1, the amount of about 400ml, dark red, with blood clots) was admitted on August 25, 1987. Since childhood, there are repeated history of epistaxis, 8 years old had surgery to remove a tip of the nose “capillary hemangioma”, denied a history of liver disease and history of major bleeding. Physical examination: anemia appearance, blood pressure 100 / 60mmHg, pulse 128 beats / min, breathing 20 beats / min. Face, left and right auricles, neck and right hand back skin are seen purple patches of varying sizes, not higher than the skin, the pressure of the fade. No abnormal lungs. 128 points / heart rate, law Qi, apex area