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患儿女性,10岁,住院号872154。3天前开始发热,伴双耳下肿痛,一天来鼻衄不止,出血量达500ml,遂于1987年9月30日入院。既往体健,无出血倾向,病前无预防接种及服药史,家族中无类似患者。查体,体温38℃,脉搏132次/分,呼吸26次/分。血压88/58mmHg。神志清,贫血貌,躯干、四肢皮肤及上腭粘膜有散在出血点,颌下淋巴结蚕豆大,无压痛,巩膜不黄,鼻前庭见血痂。咽峡充血,扁桃体Ⅱ°大,无脓性分泌物。双侧腮腺弥漫性肿大,压痛。颈无抵抗,心肺(-)。腹平软,肝脾未及。神
Children, 10 years old, hospitalization 872154.3 days ago fever, accompanied by pain in both ears, one day more than epistaxis, bleeding amounted to 500ml, then in September 30, 1987 admitted. Past physical health, no bleeding tendency, no pre-vaccination and medication history, no similar family in patients. Physical examination, body temperature 38 ℃, pulse 132 beats / min, breathing 26 beats / min. Blood pressure 88 / 58mmHg. Consciousness, anemia, torso, limbs and mucous membranes on the palate scattered bleeding, submandibular lymph nodes broad beans, no tenderness, the sclera is not yellow, the nasal vestibule see blood scab. Angina congestion, tonsil Ⅱ °, no purulent secretions. Parotid diffuse bilateral swelling, tenderness. Neck without resistance, cardiopulmonary (-). Abdomen soft, liver and spleen not yet. God