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题(1)青年患者,反复呕血、黑便,皮肤粘膜出血1周。肝脾不肿大。血红蛋白6克％,红细胞180万,白细胞5000,血小板1万/立方毫米,骨髓增生活跃,粒:红=5:1,巨核细胞数增加,幼巨核细胞比例增加。最可能的诊断是: A、再生障碍性贫血 B、急性白血病 C、特发性血小板减少性紫癜 D、脾功能亢进症 E、过敏性紫癜题(2)10岁患儿,8月15日因发烧、嗜睡、头痛3天入院。体温40℃,意识呈浅昏迷,颈软,双侧瞳孔缩小,膝反射亢进,巴氏征(+),脑脊液无色透
Question (1) young patients, repeated hematemesis, melena, skin and mucous membrane bleeding for 1 week. Liver and spleen not swollen. Hemoglobin 6%, erythrocytes 1.8 million, white blood cells 5000, platelets 10000 / cubic mm, bone marrow hyperplasia active, grain: red = 5: 1, the number of megakaryocytes increased, the proportion of young megakaryocytes increased. The most likely diagnosis is: A, aplastic anemia B, acute leukemia C, idiopathic thrombocytopenic purpura D, hypersplenism E, allergic purpura questions (2) 10-year-old children, August 15 due to Fever, drowsiness, headache 3 days admitted. Body temperature 40 ℃, consciousness was shallow coma, neck soft, bilateral miosis, knee hyperactivity, Pakistan sign (+), cerebrospinal fluid colorless