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1 病例介绍 患者,女,29岁,已婚,主诉皮肤紫癜伴牙龈、鼻腔渗血4个月,1990年6月8日入院。患者于1985年5月结婚至今5年间妊娠3次,分别在孕5、3.5、3.5个月时死胎流产。1986年因有小腿肿胀、疼痛、足面浮肿,在某医院诊为深部血栓性静脉炎。1989年6月31日突然头晕、恶心呕吐、意识不清,某医院脑CT诊断为左侧小脑半球栓塞。1990年2月出现皮肤紫癜,间断牙龈、鼻腔渗血,Hb115g/L,BPC11×10~9/L,WBC4.6×10~9/L,分类:中性0.70,淋巴0.30。查骨髓增生明
1 case description The patient, female, 29 years old, married, complained of skin purpura with gums, nasal bleeding 4 months, June 8, 1990 admitted. Patients were married in May 1985 so far three years of pregnancy three times, respectively, at 5, 3.5, 3.5 months of pregnancy stillbirth. In 1986 because of calf swelling, pain, foot surface edema, diagnosed as deep thrombophlebitis in a hospital. June 31, 1989 Sudden dizziness, nausea and vomiting, confusion, a hospital brain CT diagnosis of left cerebellar hemisphere embolism. In 1990 February skin purpura, intermittent gingival, nasal bleeding, Hb115g / L, BPC11 × 10 ~ 9 / L, WBC4.6 × 10 ~ 9 / L, classification: neutral 0.70, lymph 0.30. Check bone marrow hyperplasia