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患者,女,13岁,学生。因额部间断出血样液体4月,近半月加重。1996年12月5日初诊。患者于4月前在上课过程中突然自头额部向外流出少许血样液体,间隔1月后又出现同样情况,近半月来发作次数较频,但量极少,每次出数秒钟自行缓解,每次发作前头额部微有凉感外无其它不适,与情绪精神均无明显关系。病后曾在多家省级医院等进行诊治。实验室检查:血常规、血小板计数、出凝血时间、尿常规都在正常范围,渗出物镜检均有大量红细胞,均诊断为血汗症。 讨论 血汗症极为少见,其主要特征为血样汗液由汗孔流出,这种血样的汗液中,可以查到血细胞或只查到血红蛋白,主要发生在皮肤嫩薄的部位,例如:眼睑、前额、胸部或在生殖器等处。本病例具备以上发病特点,诊断可以确定。此病可发生于凝血机能紊乱的患者,比如血友病、紫癜、败血症、鼠疫等严重出血疾病的患者中。对本例发病原因还需进一步检查。目前尚无特殊治疗方法,尽量去除可能的病因。
Patient, female, 13 years old, student. Intermittent forehead due to bleeding liquid in April, nearly half of the increase. December 5, 1996 newly diagnosed. Patients in April during the course of the sudden flow of blood from the head office out of a little blood, the same situation after January interval appeared in the past half months the number of attacks more frequent, but the amount of very few, every few seconds to ease themselves , Before each attack the forehead slightly cool and no other discomfort, and emotional no significant relationship. After the illness in a number of provincial hospitals for diagnosis and treatment. Laboratory tests: blood, platelet count, a clotting time, urine are in the normal range, microscopic exudate have a large number of red blood cells were diagnosed as hyperhidrosis. Discussion Serum is extremely rare, its main characteristic is the sweat from the sweat pores, which can be found in the sweat of blood or hemoglobin is found only in the tender parts of the skin, such as: eyelids, forehead, chest Or at the genitals and other places. This case has the characteristics of these diseases, the diagnosis can be confirmed. The disease can occur in patients with coagulopathy, such as hemophilia, purpura, sepsis, plague and other severe bleeding disease in patients. The cause of this case needs further examination. There is no specific treatment, try to remove the possible causes.