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患者,女婴,27天。1984年2月足月顺产。生后11天,发现右背部大片青紫色瘀斑,2天后瘀斑增大,部分融合成片,哺乳差,哭闹不安。门诊以“血小板减少性紫癜”收住院。家族无类似病人。休检:于右侧上界平乳头,下界平脐,前界过正中线2.0cm,后界过脊柱2.5cm大片状弥漫性瘀斑,突出皮表,压之不褪色,中心部分有囊状感,右胸前约11×15cm瘀斑不突出皮表,压之不褪色,边界清晰。心率160次/分,余未见异常。化验:血红蛋白100g/L,红细胞3×10~(12)/L,白细胞19.8×10~9/L,中性分叶
Patient, baby girl, 27 days. February 1984 full-term birth. 11 days after birth, found large right bruises purple bruises, 2 days after the ecchymosis increased, part of the integration into a film, poor breastfeeding, crying uneasy. Outpatient to “thrombocytopenic purpura” admitted to hospital. Family no similar patient. Hugh seizure: on the right side of the flattened nipples, the lower bound level umbilical, the frontier midline 2.0cm, after the boundary spine 2.5cm large diffuse ecchymosis, prominent skin surface, the pressure does not fade, the central part of the capsule Shape, the right chest about 11 × 15cm ecchymosis does not highlight the skin surface, the pressure does not fade, the boundary is clear. Heart rate 160 beats / min, I no abnormalities. Laboratory tests: hemoglobin 100g / L, red blood cells 3 × 10 ~ (12) / L, white blood cells 19.8 × 10 ~ 9 / L, neutral leaves