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患者,女,40岁,因鼻衄、齿衄伴全身皮下出血两天入院。患者于37天前被狗咬伤小腿,经肥皂水处理后,随到当地防疫站治疗。决定按规定当日、第3、7、14、30日各肌注狂犬疫苗1支,作预防治疗。注射第4支后,病人自觉乏力、食欲不振、出汗、口渴多饮,未注意,继续使用该药治疗。注射第5支1周后,病人四肢皮肤开始出现散在针尖大出血点多个,6小时后出血点遍布全身,融合成片,伴牙龈、鼻腔出血,口腔血泡,发热,月经量较前明显增多。查体:T39.5℃,BP16/
Patients, female, 40 years old, due to epistaxis, toothache with systemic subcutaneous bleeding two days admitted. The patient was bitten by a dog 37 days before the calf, soapy water treatment, with the local epidemic prevention station treatment. Decided to press the day, 3, 7, 14, 30 intramuscular injection of rabies vaccine for prevention and treatment. After the injection of the first 4, the patient conscious fatigue, loss of appetite, sweating, thirsty and drink, did not pay attention, continue to use the drug treatment. One week after the injection of the fifth branch, the patient’s limbs began to appear multiple bleeding spots on the skin of the extremities. After 6 hours, bleeding spots were found throughout the body. The bleeding spots were gouged with gums, nasal hemorrhage, oral bubble, fever and menstrual flow . Physical examination: T39.5 ℃, BP16 /