对以高热为首发症状的过敏性紫癜1例分析如下。1病历摘要男,64岁。因上腹部不适15 d,发现皮肤黄染10 d于2010-12-20入院。查体:T 36.5℃,P 78次/min,R 19次/min,BP 104/65 mm Hg,患者神志清楚,皮肤黏膜黄染,无出血点,浅表淋巴结无肿大。巩膜黄染。双肺呼吸音清晰,未闻及干湿啰音及胸膜摩擦音。HR 76次/min,节律齐整。右上腹有压痛,无反跳痛,肝胆脾于肋下未及,莫非氏征阴性,肾脏未触及。临床 An example of hypersensitive purpura with high fever as the first symptom is as follows. 1 medical record summary male, 64 years old. Due to the upper abdomen discomfort 15 d, found that the skin yellow dye 10 d in 2010-12-20 admission. Examination: T 36.5 ℃, P 78 beats / min, R 19 beats / min, BP 104/65 mm Hg, patients with clear consciousness, skin mucosa yellow dye, no bleeding, superficial lymph nodes without swelling. Sclera yellow dye. Breath sounds clear lungs, no smell and wet and dry rales and pleural friction sound. HR 76 times / min, rhythm neat. Right upper quadrant tenderness, no rebound pain, liver and gallbladder spleen in the ribs did not, does the sign of negative, the kidneys did not touch. clinical