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血栓性血小板减少性紫癜(简称TTP),是一种凶险的疾病,但及时治疗又能改观预后,现将我院收治1例,报告如下: 患者女性,22岁,未婚,工人,因皮肤紫癜半月,月经量过多,鲜红色、血块,伴畏寒、发热,于1981年11月29日入院。体检:T 37.3℃,R 22次,P 130次,BP110/70,神清,贫血貌,四肢及胸腹部皮肤可见大小不等紫癜,表浅淋巴结不肿大,巩膜未见黄染,双肺呼吸音增粗,心界向左下轻度扩大,心率130次,心尖部可闻Ⅱ级吹风样收缩期杂音,肝肋下1.0cm,质软,无触痛,脾未扪及,未引出病理神经反射。
Thrombotic thrombocytopenic purpura (referred to as TTP), is a dangerous disease, but timely treatment can change the prognosis, and now admitted to our hospital in 1 case, the report is as follows: Female patients, 22 years old, single, workers, due to skin purpura Half moon, excessive menstrual flow, bright red, blood clots, with chills, fever, admitted to hospital on November 29, 1981. Physical examination: T 37.3 ℃, R 22 times, P 130 times, BP110 / 70, Shen Qing, anemia appearance, visible limbs and chest and abdomen skin ranging in size from purpura, superficial lymph nodes are not enlarged, sclera no yellow dye, Breathing sound thickening, the heart to the left slightly expanded, the heart rate 130 times, the apex can be heard Ⅱ grade hair-style systolic murmur, liver ribs 1.0cm, soft, no tenderness, spleen not palpable, did not lead to pathology Reflexes.