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赵××,男,10岁。1989—8—15,初诊。患儿无明显诱因,半年前出现衄血,周身乏力,面色苍白,曾求治于当地某医院。经检查,诊断再生障碍性贫血。间断输血五次,并以强地松、丙睾及叶酸,氧化钴、维生素B_2等治疗,其效不显。近一个月来,皮肤出现紫色斑点,始起小腿、然后遍及周身。查体:面色苍白,精神烦躁,唇干舌燥,周身密布紫色斑点,心肺无著变,腹部平软,肝脾未触及。实验室检查:血色素40％,红
Zhao × ×, male, 10 years old. 1989-8-15, first visit. No obvious incentive in children, six months ago, there is blood stasis, whole body fatigue, pale, once sought treatment in a local hospital. After examination, diagnosis of aplastic anemia. Intermittent blood transfusion five times, and strong pine, testis and folic acid, cobalt oxide, vitamin B_2 treatment, the effect is not significant. In the past month, the skin appears purple spots, began the calf, and then throughout the whole body. Physical examination: pale, irritable spirit, dry lips, whole body purple spots, no change in heart and lungs, abdomen flat soft, liver and spleen not touched. Laboratory tests: hemoglobin 40%, red