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患者,男,35岁。自认为有肠道蛔虫,口服构橼酸哌嗪6天,每次(?)g,每日二次,3日后头晕恶心、视力模糊,6日鼻出血不止,量约1000ml,既往身体健康。于1984年12月15日入院。体检,T36.5℃,脉搏细弱,R17次/分,血压测不出。表情淡薄,面色苍白,四肢冰冷。左上肢皮肤有二处约0.5×1cm紫癜,左侧球结膜瘀血,鼻出血。双肺正常。心率120次/分,心律规整,心音低钝,心尖区可闻及Ⅱ级吹风样收缩期杂音,肝脾未触及。神经系统检查未发现异常。血红蛋白44%,红细胞216万,白细胞5600,中性52%,淋巴46%,单核2%,血小板3.8万,网织红细胞0.8%,出凝血时间各2分钟,肝功
Patient, male, 35 years old. Self-considered intestinal roundworm, oral citrate piperazine 6 days, each time (?) G, twice daily, 3 days after dizziness, nausea, blurred vision, more than 6 days nosebleed, the amount of about 1000ml, previous physical health. Admitted to hospital on December 15, 1984. Physical examination, T36.5 ℃, weak pulse, R17 times / min, blood pressure can not be measured. Low expression, pale, limbs cold. Left upper limb skin has about 0.5 × 1cm Purpura, left bulbous conjunctival blood stasis, epistaxis. Normal lungs. Heart rate 120 beats / min, regular heart rhythm, low heart sound, apex area can be heard and Ⅱ grade hair-like systolic murmur, liver and spleen not touched. Nervous system examination found no abnormalities. Hemoglobin 44%, erythrocyte 2160000, white blood cells 5600, neutral 52%, lymphatic 46%, mononuclear 2%, platelet 38000, reticulocyte 0.8%, the clotting time of 2 minutes, liver function