例1 男,40岁。因乏力、纳差、腹胀、便溏24天,黄疸、腹水进行性加重二周,于1984年10月22日入院。入院前13个月有鼻衄及牙龈出血史,10月前体检发现脾大,HBsAg阳性及肝功能异常,血小板2万/mm~3,白细胞1800/mm~3。7个月前在某院查骨髓象,诊断:“原发性血小板减少症”。 Example 1 male, 40 years old. Due to fatigue, anorexia, bloating, loose stools 24 days, jaundice, ascites progressive aggravating two weeks, on October 22, 1984 admission. Thirteen months prior to admission, there was a history of epistaxis and gingival bleeding. A physical examination revealed splenomegaly, HBsAg positive and abnormal liver function before October, with platelets 20,000 / mm ~ 3 and white blood cells 1800 / mm ~ 3.7 months earlier in a hospital Check bone marrow, diagnosis: “primary thrombocytopenia.”