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患者,女,25岁。已婚,农民.1978年8日1月入院。住院号001541。患者月经量多,期长逾周,伴鼻衄、齿衄、头晕、心慌、乏力1年,皮肤紫癜2月.体检:体温38.8℃,脉搏80次/分,呼吸24次/分;营养较差,面色苍白,四肢皮肤有片状紫癜及粟粒样散在出血点,压之退色,旋即复原.肝剑下6cm,肋下2cm,脾肋下1cm。实验室检查:血红蛋白6g,白细胞总数4500/mm~3,淋巴球68%,红血球形态大小不均,个别中央浅染区大,有滴状红细胞。血小板74000/mm~3,网织红细胞1.6%,红细胞脆性试验:开始溶血0.42%
Patient, female, 25 years old. Married, farmer. January 8, 1978 admission. Hospital number 001541. Patients with menorrhagia, longer than the week, with epistaxis, scalloped, dizziness, palpitation, fatigue 1 year, skin purpura February. Physical examination: body temperature 38.8 ℃, pulse 80 beats / min, breathing 24 beats / min; Poor, pale, limbs, skin patches of purpura and miliary scattered in the bleeding point, the pressure of the fade, immediately restored. Liver Sword 6cm, rib 2cm, Spleen ribs 1cm. Laboratory tests: hemoglobin 6g, total leukocytes 4500 / mm ~ 3, lymphocytes 68%, red blood cell size uneven, some of the central shallow stained area, there are drops of red blood cells. Platelets 74000 / mm ~ 3, reticulocyte 1.6%, red blood cell friability test: start hemolysis 0.42%