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病历摘要 钟某,男,10岁。1979年1月上旬由湖南农村入伍来东北。1月18日双下肢皮肤出现大量散在出血点,大小和形态均不一,7天后入某医院。当时血压150/100,除皮肤出血点外,还发现下肢及阴囊浮肿;血红蛋白7.8g/dl,白细胞8,800,血小板17.3万;尿蛋白(卅)、定量5.94g/24h;血清总蛋白4.0g/dl,血浆尿素氮27mg/dl。临床诊断“过敏性紫癜合并肾炎”。治疗包括:强的松(30mg/24h)、硫唑嘌呤、环磷酰胺、消炎痛、潘生丁、转移因子、抗生素等。住院期间曾有急性腹痛1次,对症处理后缓解。经治疗出血点消失,但浮肿加重,尿量减少,于5月9日转入本院。
Medical history Zhongmou, male, 10 years old. In early January 1979 by the rural Hunan army to the northeast. January 18 double lower extremity skin scattered a large number of bleeding point, the size and shape are different, 7 days into a hospital. Blood pressure was 150/100, in addition to skin bleeding, but also found lower extremity and scrotal edema; hemoglobin 7.8g / dl, leukocytes 8,800, platelet 173,000; urinary protein (卅), quantitative 5.94g / 24h; serum total protein 4.0g / dl, plasma urea nitrogen 27mg / dl. Clinical diagnosis of “allergic purpura with nephritis.” Treatment include: prednisone (30mg / 24h), azathioprine, cyclophosphamide, indomethacin, dipyridamole, transfer factor, antibiotics and so on. Acute abdominal pain during hospitalization was 1, symptomatic relief after treatment. After the treatment of bleeding disappeared, but edema increased, reduced urine output, transferred to the hospital on May 9.