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我院2000-2006-12收治的过敏性紫癜患者中误诊3例,现分析如下。1病历摘要例1:男,9岁。因右下腹痛2 d拟诊为阑尾炎,于2002-09-08收入外科,入院查体:T 37.0℃,P 84次/min,R 22次/min,BP 90/60 mm Hg,体重30 kg,神志清楚,精神不振,腹平坦、软,脐周及右下腹压痛(+),无反跳痛,肌紧张。血常规:WBC11.0×109/L,N 0.75,L 0.24,Hb 128 g/L,PLT 310×109/L;尿常规:酮体++;便常规:OB(+);B超:肝、胆、脾、胰未见异常,右下腹未见包块、积液。入院后给保守治疗。
My hospital 2000-2006-12 admitted patients with allergic purpura misdiagnosed in 3 cases, are analyzed as follows. 1 Medical Summary Example 1: Male, 9 years old. The appendicitis was diagnosed as appendicitis due to right lower quadrant abdominal pain for 2 days. The patient was admitted to Department of Surgery on September 9, 2002 and admitted to hospital for examination: T 37.0 ℃, P 84 / min, R 22 / min, BP 90/60 mm Hg, , Conscious, unsmooth, flat belly, soft, umbilical and right lower quadrant tenderness (+), no rebound tenderness, muscle tension. Blood routine: WBC11.0 × 109 / L, N 0.75, L 0.24, Hb 128 g / L, PLT 310 × 109 / L; urine routine: ketones ++; routine: OB , Gall, spleen, pancreas no abnormalities, no mass in the right lower abdomen, effusion. Conservative treatment after admission.