论文部分内容阅读
10岁男孩,二天前咽痛服朴感敏一片,当晚尿呈洗肉水样,次日面黄、乏力,腹痛,频繁呕吐胃内容物,颈部、颜面出现针尖大小出血点。既往二次上感后,服磺胺及消炎痛后亦有出血点及呕吐。查体。体温37℃,脉搏84次/分,BP14.63/7.93kPa,急性重病容,神清,面灰,四肢厥冷,巩膜轻度黄染,咽充血,心尖区可闻收缩期杂音Ⅰ级,肝肋下1.5cm,脾未及,双肾区叩击痛,全身见针尖样出血点,右大、小腿处各见5×5cm,1×1.5cm淤
10-year-old boy, two days ago, sore throat with a sense of simplicity Park, the urine was washed night water, the next day noodles yellow, fatigue, abdominal pain, frequent vomiting stomach contents, neck, face appear tip size bleeding point. Past two times on the flu, after taking sulfa and indomethacin also bleeding and vomiting. Physical examination. Body temperature 37 ℃, pulse 84 beats / min, BP14.63 / 7.93kPa, acute severe disease, Shen Qing, face gray, extremities Jueleng, scleral mild yellow dye, pharyngeal congestion, apex area systolic murmur class Ⅰ, Liver ribs 1.5cm, spleen and kidney area percussion pain, the whole body see the tip-like hemorrhage point, the right large, calf at all see 5 × 5cm, 1 × 1.5cm silt