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患者男,37岁。于1988年3月发现下肢皮肤大块紫斑,在当地多次验血,血小板在50～70×10~9/L 之间,凝血时间延长,经骨穿检查诊断为“原发性血小板减少性紫癜”,服强的松15mg/日,氨肽素3.0g/日治疗近一个月,血小板为110×10~9/L,但凝血时间仍延长,于4月9日就诊我院。体检:发育正常,无贫血貌及黄疸,四肢皮肤有数块大块陈旧性紫斑,肝脾淋巴结不大,余未见异常。实验室检查:血红蛋白155
Male patient, 37 years old. In March 1988 found lower extremity skin purple spot, many blood tests in the local, platelets in the 50 ~ 70 × 10 ~ 9 / L between the clotting time, by the bone puncture diagnosis of “primary thrombocytopenia Purpura ”, strong prednisone 15mg / day, aminoglitazone 3.0g / day treatment for nearly a month, platelet 110 × 10 ~ 9 / L, but the clotting time is still extended, on April 9 for treatment in our hospital. Physical examination: normal development, anemia-free appearance and jaundice, limbs, the skin has a few large pieces of old purple, liver and spleen lymph nodes is not, I did not see abnormalities. Laboratory tests: hemoglobin 155