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例1:女,17岁.因头痛自服安乃近1片,次日双下肢伸侧皮肤散在分布如米粒大小的鲜红色疹等,同时全腹绞痛,腹泻、便血.全身肌肉、关节剧痛,尤以双侧腓肠肌为重. 体检:T39.5℃、P110次/分,BP90/60mmHg.精神差,贫血貌.除全腹有轻压痛外,余正常.三角肌,前臂肌群,腓肠肌有触痛.肘、髋、膝及踝关节剧痛,但无肿胀及积液.患者不能走动,双上肢不能上举;双手握物无力;大小便时不能下蹲.化验:血红蛋白9 g,白细胞13400,中性76%,淋巴22%,酸性%.血沉25mm/小时,血小板及出凝血时间正常.尿常规正常.大便常规:红细胞(??),潜血强阳性.摄肘、膝关节片正常.
Example 1: Female, 17 years old due to headache and self-service Annapurna 1, the next day the lower extremity extensor skin scatter, such as rice-size bright red rash, at the same time, all abdominal pain, diarrhea, blood in the stool. Severe pain, especially in bilateral gastrocnemius. Physical examination: T39.5 ℃, P110 beats / min, BP90 / 60mmHg. Poor spirit, anemia appearance. In addition to the whole abdomen with mild tenderness, the more normal. Deltoid, forearm muscles , Gastrocnemius tenderness. Elbow, hip, knee and ankle pain, but no swelling and fluid. The patient can not move, the upper extremity can not be on the move; handshake weakness; urine can not squat .Check: hemoglobin 9 g, white blood cells 13400, 76% neutral, lymphatic 22%, acid%. Erythrocyte 25mm / hour, platelets and clotting time is normal. Urine routine. Stool routine: red blood cells The articular piece is normal.