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患者葛某,女,14岁,于1985年10月初无明显诱因出现四肢散在点片状出血点,逐渐增多并伴有咽部不适,呕吐,不能进食。于10月29日入空军某医院。入院查体:一般状态良,咽部无明显异常,心肺听诊正常,脉搏110次/分,腹平软,无压痛及肌紧张,肝脾未触及,四肢出血点呈点片状及紫癜,以双腿内侧为重,关节无红肿。既往史,曾患中毒性菌痢。实验室检查:血常规、血小板、血沉、便常规、肝功均正常。入院诊断为:“过敏性紫癫”。给予强地松10mg~3/日,左旋咪唑45mg~3/日口服,间断合用地塞米松5mg,ACTH25~n能量合剂等静点,治愈出院。其后上述症状
Patients Gemou, female, 14 years old, in early October 1985 no obvious incentive to appear scattered limb flakes flaky, gradually increased and accompanied by throat discomfort, vomiting, can not eat. On October 29 into the Air Force hospital. Admission examination: the general state of good, pharyngeal no obvious abnormalities, cardiopulmonary auscultation normal, pulse 110 beats / min, abdominal soft, no tenderness and muscle tension, liver and spleen not touched, extremities bleeding point was patchy and purpura Medial legs heavy, joint swelling. Past history, had suffering from toxic bacillary dysentery. Laboratory tests: blood, platelets, erythrocyte sedimentation rate, then routine, liver function are normal. Admission diagnosed as: “allergic epilepsy.” Given prednisone 10mg ~ 3 / day, levamisole 45mg ~ 3 / day oral intermittent dexamethasone 5mg, ACTH25 ~ n energy mixture isostatic, cured and discharged. After the above symptoms