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患儿男,4岁,自出生后每逢哭闹面部即出现大小不等的出血点,如挤压或碰撞即发生皮肤紫癜;如外伤即局部出血不止。近二年冬季,大量出血4次,血色素2克左右,每次均致失血性休克,经输血后好转。近因感冒发热用复方氨基比林等药物后致鼻粘膜出血不止,以“失血性休克”入我院。其母幼年亦有反复鼻衄史,成年后月经过多,妊娠期间患重度贫血,血色素为4克左右。体检:全身皮肤粘膜可见大小不等的出血点及紫癜,淋巴结无明显增大,心肺无异常。
Male, 4 years old, since the birth of every face after crying face that the size of bleeding points, such as squeezing or collision that occurs when the skin purpura; such as trauma that is more than local bleeding. Nearly two years in winter, a large number of bleeding 4 times, about 2 grams of hemoglobin, each cause hemorrhagic shock, after transfusion improved. Nearly due to cold fever with compound aminopyrine and other drugs to nasal mucosal bleeding more than to “hemorrhagic shock” into our hospital. The mother and child also have repeated history of epistaxis, menorrhagia after pregnancy, severe anemia during pregnancy, hemoglobin is about 4 grams. Physical examination: the body skin and mucous membranes can see the size of bleeding and purpura, no significant increase in lymph nodes, no abnormal heart and lung.