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例1 男,10岁,患儿于1984年5月26日发热,按感冒治疗烧退,6月1日突感右颞部剧痛,次晨发现右眼及面部肿胀伴发热、呕吐,右耳流少量黄水,查发现右侧周围性面瘫,拟诊急性中耳炎合并周围性面瘫收入院。半年前开始常有牙龈出血及皮肤(疒淤)斑,有时发热伴咳嗽,呕吐。体检:体温38℃,慢性病容,四肢町见散在针尖大出血点,右外耳道内可见血性分泌物,肝大叻下1 cm,睥未扪及,神经系统除见右侧周围性面瘫外,未发现其它阳性体征。摄双侧乳突及内听道X线片未见异常。周围血象白血球总数25,900/mm~3幼稚粒细胞占74％,骨髓穿刺符合急性粒细胞
Example 1 Male, 10 years old, the patient was fever on May 26, 1984, according to the cold treatment of fever, June 1 sudden sense of right temporal pain, the next morning found that the right eye and facial swelling with fever, vomiting, right Ear a small amount of yellow water, check the right peripheral facial paralysis, diagnosed with acute otitis media peripheral facial paralysis income hospital. Six months ago, gingival bleeding and skin (silt deposition) often began to spot, and sometimes fever with cough and vomiting. Physical examination: body temperature 38 ℃, chronic disease, extremities town scattered scattered in the tip of the needle, the right external auditory canal visible bloody discharge, liver Dalat 1 cm, 睥 not palpable, the nervous system in addition to the right peripheral facial paralysis, found no outside Other positive signs. Photographs of both mastoids and internal auditory canal showed no abnormalities. Peripheral blood white blood cells 25,900 / mm ~ 3 74% of immature granulocytes, bone marrow puncture in line with acute granulocytes