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患者女性、21岁、住院号62280,1978年8月29日入院。20天前因患感冒口服安乃近2片后,于四肢对称性分批出现紫癜,伴有腹痛、恶心、呕吐、血便。既往体健,无糖尿病史和家族史。查体:体温、脉搏、血压均正常,神志清楚,四肢皮肤见对称分布的紫癜,腹软、脐周明显压痛,其它未见异常。化验:Hb10％,WBC19,600,N85％,L15％,血小板11万;大便潜血阳性。入院诊断:过敏性紫癜。入院后口服扑尔敏,泼尼松15mg、每日3次;氢化可的松100mg/日iv。病情反复、时轻时重。至9月8日皮肤紫癜消退,仍腹痛,并出现明显口渴、呻吟、失眠、躁动、意识模糊、说话舌硬、精
Patient Female, 21 years old, hospital number 62280, admitted on August 29, 1978. 20 days ago due to a cold oral administration of Arnold 2 after the symmetry of the limbs appear purpura, with abdominal pain, nausea, vomiting, bloody stools. Previous health, no history of diabetes and family history. Physical examination: body temperature, pulse, blood pressure were normal, conscious, limbs, skin symmetry of the purpura seen, abdomen soft, umbilical weeks significantly tenderness, the other without exception. Laboratory: Hb10%, WBC19,600, N85%, L15%, platelet 110,000; fecal occult blood positive. Admission diagnosis: anaphylactoid purpura. Oral chlorpheniramine after admission, prednisone 15mg, 3 times a day; hydrocortisone 100mg / day iv. Repeated, when light weight. Until September 8 skin purpura subsided, still abdominal pain, and obvious thirst, moaning, insomnia, restlessness, confusion, vocal, hard-talking, fine