论文部分内容阅读
患儿女,11岁,因鼻衄一周于1985年1月30日入院。4年来患儿间断鼻衄,半年前门诊检查血压正常,血红蛋白6 g/dl,尿常规正常,按“营养性贫血治疗无好转。既往无浮肿及高血压史,无尿频、尿急、尿痛。查体:体温37.5℃,血压140/80mmHg,体重23kg。精神萎靡,贫血面容,眼睑轻微浮肿,双鼻孔填有纱条,仍渗血。心界向两侧扩大,余未见异常。入院后血常规:红细胞200万,血红蛋白4.5g/dl,白细胞9,000,血小板12万,网织红细胞0.5%,出血时间10′,凝血时间2′。初步诊断“出血性疾病”,立即输新鲜血300ml。输血中鼻衄未止,出现库氏大
Children with children, 11 years old, due to epistaxis a week in January 30, 1985 admission. 4 years of intermittent epistaxis in children, six months ago, out-patient examination of blood pressure, hemoglobin 6 g / dl, normal urine, according to “no improvement of nutritional anemia. No past history of edema and hypertension, no urinary frequency, urgency, dysuria Physical examination: body temperature 37.5 ℃, blood pressure 140 / 80mmHg, weight 23kg .Small, anemic face, slightly eyelid edema, double nostril filled with gauze, still bleeding .Will expand to both sides, I no exception. After blood routine: 2 million red blood cells, hemoglobin 4.5g / dl, 9,000 leukocytes, platelets 120,000, reticulocyte 0.5%, bleeding time 10 ’, clotting time 2. Initial diagnosis of ”bleeding disorders", immediately lose the new blood 300ml Transfusions in the epistaxis has not stopped, there is a large library