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1病例资料患者,女性,7岁。四年前出现面色苍白、头昏乏力,伴低热、咳嗽,无胸闷、气喘、心慌,无皮肤瘀斑、鼻出血及牙龈出血,当地医院诊断为上感,予“输液治疗”体温可正常(具体不详),症状加重并出现皮肤瘀斑,本院门诊查血常规示Hb74g/L,WBC 3.3×109/L,N 0.38×109/L,PLT 10×109/L,为进一步诊治收入本科。查体:中度贫血貌,皮肤粘膜散在瘀点,浅表淋巴结未及,胸骨压痛(-),双肺呼吸音粗,未闻及干湿性啰音。心律齐,未闻及病理性杂音。腹软,无压痛,肝脾肋下未及。双下肢不肿。
1 case information patient, female, 7 years old. Four years ago pale, dizzy and fatigued, with fever, cough, no chest tightness, asthma, palpitation, no skin ecchymosis, epistaxis and bleeding gums, the local hospital diagnosis of the flu, to “infusion therapy ” body temperature Normal (unknown), symptoms and skin ecchymosis, Hb74g / L, WBC 3.3 × 109 / L, N 0.38 × 109 / L, PLT 10 × 109 / L in our outpatient clinic for further diagnosis and treatment Undergraduate. Physical examination: moderate anemia appearance, skin and mucous membrane scattered petechia, superficial lymph nodes, chest tenderness (-), lung breath sounds thick, unheard-of and wet and dry rales. Qi heart, no smell and pathological murmur. Abdomen soft, no tenderness, liver and spleen and ribs have not yet. Double lower extremity is not swollen.