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1995年9月20日查房纪要—— 住院医师,请实习医师报告病历。 实习医师 王××,女,25岁。因妊娠9个多月,头昏、乏力、齿龈出血半月,加剧伴皮肤瘀斑2天于1995年9月19日入院。患者妊娠已9个多月,半月前出现头昏、乏力、齿龈出血,但无发热,因出血量不多,故未引起重视,当地医生给予维生素K及维生素C治疗、症状未见明显好转。2天前出现皮肤瘀斑、齿龈出血增多诊断“血小板减少性紫癜”而
Auditorium on September 20, 1995 - Resident, please intern to report medical records. Intern Wang X, female, 25 years old. For more than 9 months of pregnancy, dizziness, fatigue, gingival hemorrhage for half a month, exacerbated with skin bruising for 2 days on September 19, 1995. The patient has been pregnant for more than 9 months. He suffered dizziness, fatigue, and gums bleeding half a month ago. However, he had no fever. Because of the small amount of bleeding, he did not pay attention. The local doctor gave vitamin K and vitamin C treatment, and the symptoms did not improve significantly. Two days ago, skin ecchymosis, gingival hemorrhage increased diagnosis of “thrombocytopenia purpura” and