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原发性血小板减少性紫癜(ITP)是一种原因尚未完全明了的出血性疾病。本文131例 ITP 为我院1980年至1991年11年间收治的住院病例,除去重复住院病例。人院时病程最短者半天,最长25年。1.年龄与性别:年龄最小为2个月,最大为56岁,男69例,女62例;2个月～14岁81例(63%);15～40岁40例;40岁以上组10例。2.临床表现:49例入院时有发热,9例中度发热,40例低热。有贫血表现的82例。118例(90%)有全身散在出血点、紫癜、紫斑;皮下血肿2例;眼结膜出血3例;眼底出血2例;鼻衄49例;牙龈出血56例;解柏油样便29例;血尿9例;呕血5例;月经过多12例,占女性(14～50岁)病例的40%。
Primary thrombocytopenic purpura (ITP) is a hemorrhagic disease that has not yet been fully understood. The 131 cases of ITP for our hospital from 1980 to 1991 11 years admitted to the hospitalized cases, remove the repeated hospitalized cases. The shortest duration of hospitalization for half a day, up to 25 years. 1. Age and sex: the youngest is 2 months, the largest is 56 years old, 69 males and 62 females; 81 months (63%) from 2 months to 14 years old; 40 cases from 40 to 40 years old; 10 cases. 2. Clinical manifestations: 49 cases of fever at admission, 9 cases of moderate fever, 40 cases of fever. 82 cases of anemia. 118 cases (90%) had systemic scattered bleeding, purpura, purple spots; subcutaneous hematoma in 2 cases; conjunctival hemorrhage in 3 cases; fundus hemorrhage in 2 cases; epistaxis in 49 cases; gingival bleeding in 56 cases; 9 cases; hematemesis in 5 cases; menorrhagia in 12 cases, accounting for 40% of female (14 to 50 years old) cases.