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患者,女,36岁。因头昏、乏力、反复牙龈出血、皮肤紫癜一年余,于1986年6月19日入院。时有低热,关节酸痛。有“癫痫”病史23年。否认肝炎、肾炎及有关药物史。检查:侏儒畸形,向心性肥胖,无黄疸,全身皮肤散在紫癜及片状瘀斑。心肺(-),腹膨大,肝上界第五肋间,肋下4cm,剑突下6cm,质地中等,无触痛。脾肋下5cm,质地中等。腹水可疑。血红蛋白70g/L、白细胞4.8×10~9/L,血小板57×10~9/L。尿蛋白(+)～(?)。ASO500单位。血沉140～48mm/h。类
Patient, female, 36 years old. Due to dizziness, fatigue, repeated bleeding gums, skin purpura more than a year, in June 19, 1986 admission. When there is fever, joint pain. Have a “epilepsy” history of 23 years. Denied hepatitis, nephritis and related drug history. Check: dwarf deformity, concentric obesity, jaundice, systemic skin purpura and patchy ecchymosis. Cardiopulmonary (-), abdominal enlargement, the upper limit of the fifth intercostal space, ribs 4cm, xiphoid 6cm, medium texture, no tenderness. Spleen ribs 5cm, medium texture. Ascites suspicious. Hemoglobin 70g / L, white blood cells 4.8 × 10 ~ 9 / L, platelets 57 × 10 ~ 9 / L. Urine protein (+) ~ (?). ASO500 units. ESR 140 ~ 48mm / h. class