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1病历摘要患者男,35岁,因“发现皮肤出血点4 d、加重2 d”于2011年2月3日入住首都医科大学附属北京朝阳医院。同年1月10患者因“上呼吸道感染”自行服用酚麻美敏片(泰诺)(2次共3片)、甲硝唑(2次4片)及牛黄类中药(2次3丸)等,此后五六天出现厌食、乏力等症状,未予重视。1月30日患者无诱因右上臂及小腿出现多发大小不等出血点,因抓挠扩大为瘀斑,同时出现右侧颊黏膜皮下血肿,遂到某医院就诊。血常规检查示血小板计数17×109/L,
1 medical record Summary Male patient, 35 years old, because “found skin bleeding point 4 d, increased 2 d ” on February 3, 2011 to stay in Beijing Chaoyang Hospital, Capital Medical University. In the same year on January 10 patients due to “upper respiratory tract infection ” self-taking phenol aspartame (Tylenol) (2 times a total of 3), metronidazole (2 times 4 tablets) and bezoar Chinese medicine (2 times 3 pills) And so on, five or six days after the occurrence of anorexia, fatigue and other symptoms, no attention. January 30 patients with no incentive for the right upper arm and calf multiple sizes ranging from bleeding point, because of scratching expands to ecchymosis, while the right buccal mucosa subcutaneous hematoma, then went to a hospital. Blood tests showed platelet count 17 × 109 / L,