论文部分内容阅读
患者女,18岁。出现发热、齿龈出血、鼻衄,伴头昏、乏力1周。患者于1985年10月19日起突然高热,伴以头昏、乏力。发热后曾服“去痛片”数片,2天后出现齿龈渗血不止,伴鼻衄、月经量增多而来我院口腔科、内科门诊,于1985年10月26日收住院。体检:T40℃,皮肤、粘膜苍白,四肢有大小不等的紫斑,浅淋巴结不大,心肺(-),肝脾不肿大。实验室检查:血红蛋白4.2～4.8g,红细胞125～148万,白细胞670～1400,中性6/25、淋巴18/25、单核1/25,血小板1～28.4万,网织红细胞0.3%。骨髓检查(自10月21日～11月9日共做3次);均呈增生极度低下,粒、
Patient female, 18 years old. There fever, bleeding gums, epistaxis, with dizziness, fatigue for 1 week. The patient suddenly became feverish on October 19, 1985, accompanied by dizziness and weakness. After serving a fever “to painkillers” a few tablets, 2 days after bleeding gums more than, with epistaxis, menstruation increased from our department of stomatology, internal medicine clinic, on October 26, 1985 admitted to hospital. Physical examination: T40 ℃, skin, mucous membrane pale, limbs have different sizes of purple spots, shallow lymph nodes, heart and lung (-), liver and spleen is not enlarged. Laboratory tests: Hemoglobin 4.2 ~ 4.8g, red blood cells 125 ~ 1480000, white blood cells 670 ~ 1400, neutral 6/25, lymph 18/25, mononuclear 1/25, platelets 1 ~ 28.4 million, reticulocyte 0.3%. Bone marrow examination (from October 21 to November 9, a total of 3 times); were extremely low proliferation, grain,