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患儿,男,5岁.因全身出水痘一周,鼻衄4天,于1993年1月25日住院.患者来我院前7天全身出现大小不等的疱疹,近2～3天已有结痂形成。4天前突然鼻出血,并伴有皮肤散在的针尖大小的出血点及发热,肌注止血药无效.既往健康.查体:体温38.6℃,血压13.3/8.0kPa.热性病容,周围皮肤可见豆粒大小结痂,以躯干为主,四肢皮肤可见散在分布的针尖的出血点,面及下肢有2处瘀斑,大者1.0cm×1.3cm.眼结膜充血,鼻腔流血淋漓不断,肝、脾均耒触及.神经系统未见异常.检验:血红蛋白85g/L,红细胞2.8×10~(12)/L.白细胞10.3×10~9/L,中性79%,淋巴20%,单核1%,血小板38×10~9/L,出血时6
Children, male, aged 5. Due to body out of chickenpox week, epistaxis 4 days, hospitalized January 25, 1993. Patients come to our hospital 7 days before the size of the body appeared herpes, nearly 2 to 3 days have been Scab formation. Sudden nosebleed 4 days ago, and accompanied by the size of the skin scattered in the tip of the bleeding and fever, intramuscular hemostatic ineffective. Physical examination: body temperature 38.6 ℃, blood pressure 13.3 / 8.0kPa. Soybean size crusting, mainly to the trunk, the limbs can be seen scattered scattered tip of the bleeding point, face and lower extremities have two ecchymosis, the larger 1.0cm × 1.3cm. Conjunctival hyperemia, nasal bleeding dripping, liver and spleen All were not touched.Nervous system was abnormal.Examination: Hemoglobin 85g / L, erythrocyte 2.8 × 10-12 / L, leukocyte 10.3 × 10-9 / L, neutral 79%, lymphatic 20%, mononuclear 1% , Platelets 38 × 10 ~ 9 / L, bleeding 6