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本文报导1936～1961年间上海第一医学院华山院及中山医院所收治的143例原发性血小板减少性紫癜症的临床表现分析资料,并就临床表现和诊断问题加以讨论。本组患者年龄最大者76岁,最幼者仅34天。20～29岁组占48.8％,为发病率最高者。男性58例.女性85例,男女比例为1∶1.4。20～29岁组女性发病率约为男子的两倍。发病与家属及职业史关系不大。有诱因可追究者计24例,以分娩后发生的占多数(7例)。入院时病程以6月内者为最多。临床特征以皮肤及粘膜的瘀点、瘀斑与其他组织内出血为主。粘膜
This article reports on clinical manifestations of 143 cases of idiopathic thrombocytopenic purpura from Huashan Hospital and Zhongshan Hospital of Shanghai First Medical College from 1936 to 1961, and discusses the clinical presentation and diagnosis. The oldest patient in this group was 76 years old, the youngest only 34 days. 20 to 29 years old group accounted for 48.8%, the highest incidence. 58 males and 85 females, with a male to female ratio of 1: 1.4. The prevalence of females in the 20- to 29-year-old group was approximately double that of men. The incidence of family and occupational history has little to do. There are incentives to be investigated in 24 cases, accounting for the majority after delivery (7 cases). Course of admission to the most within 6 months. Clinical features of the skin and mucous membrane petechiae, ecchymosis and other tissue-based bleeding. Mucosa