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患者韩×,男.17岁,住院号811789.因四肢对称性紫瘢半个月,腹痛,便血一周,于1981年3月25日入院。入院前半个月洗澡时发现右踝部轻度发红,四、五天后双下肢出现密集红色斑点,并有融合趋势.病后一周出现脐周阵发性绞痛,剧痛时伴有大便感,排便后腹痛可暂时好转。大便每日3～5次,初为血水样,后转为暗红色糊状。并述发病来有轻度发热.无类似家族史.入院体检:T37.1℃,P116次/分,BP90/70mmHg.发育良好,营养中等,急病容。淋巴结不大,粘膜稍苍白,四肢满布密集点片状皮下出血,暗红色,压之不消退。心肺无异常。腹平软,脐周及右下腹有轻度压痛,无反跳痛,肝、脾未触及,肠鸣音略亢进。
Patient Han ×, male .17 years old, hospital number 811789. Due to limb symmetry purple scar for half a month, abdominal pain, blood in the stool for a week, on March 25, 1981 admission. A half an month before admission, found a mild redness of the right ankle, four or five days after the emergence of dense red spots on both lower extremities, and there is a fusion trend .A week after the onset of umbilical paroxysmal angina, severe pain accompanied by stool , Abdominal pain after bowel movement can be temporarily improved. Stool 3 to 5 times a day, the initial blood samples, turned to dark red paste. And described the incidence of mild fever. No similar family history. Admission medical examination: T37.1 ℃, P116 beats / min, BP90 / 70mmHg. Well-developed, moderate nutrition, acute disease capacity. Lymph nodes are not large, slightly pale mucous membrane, extremities covered with dense spots flaky subcutaneous bleeding, dark red, pressure does not subside. No abnormal heart and lung. Abdomen soft, umbilical and right lower quadrant mild tenderness, no rebound pain, liver, spleen not touched, bowel sounds slightly hyperthyroidism.