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病历摘要患者男性,24岁。主诉鼻衄四年余,齿龈出血一年,周身起红点40余天。于1963年10月7日入院。缘自1959年7月间,在一次劳动时突发鼻衄,经棉球堵塞,出血约一小时自行停止,全身无何不适。同年10月再次发生鼻衄,此次有头昏、头晕感。此后约每隔半至一月即发生一次鼻衄,出血时间均约为一小时。1960年1月鼻衄间隔期缩短,约每周发生一次,出血时间较前延长,每次约三小时,经棉球堵塞止血无效,堵塞前鼻孔,血自口中涌出,每次鼻衄均致头昏、头晕、心慌、气短、四肢无力、胸疼、眼前发黑冒金花、颜面苍白,更有一次鼻衄因出血过多而致昏迷、不省人事。于1960年1月、7月、1962年10月三次因严重鼻衄而住院治疗。鼻衄的发生无明显诱因可寻。1962年10月间,一
Patient summary Male patient, 24 years old. The main complaint epistaxis more than four years, bleeding gums a year, the whole body red dot more than 40 days. On October 7, 1963 admission. Edge since July 1959, during a sudden nose epistaxis, blockage by the cotton ball, about an hour to stop bleeding, the body without any discomfort. In the same year in October again epistaxis, the dizziness, dizziness. About every half to January thereafter, there is a nosebleed, bleeding time is about one hour. In January 1960, epistaxis interval shortened, about once a week, the bleeding time longer than before, about three hours each time, blocked by a tampon to stop bleeding, blocking the nose, bleeding from the mouth, each epistaxis are To the dizziness, dizziness, flustered, shortness of breath, weakness, chest pain, black cashmere in front, pale face, more than once epistaxis due to excessive bleeding caused unconsciousness, unconscious. In January 1960, July, October 1962 three times for severe epistaxis and hospitalization. Nasal obstruction occurred no obvious incentive to find. In 1962 October, a