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病例摘要张××,女,8岁,小学生。1977年9月24日下午为接种卡介苗而进行结核菌素(简称结素)试验(1∶2,000,左前臂掌侧中央皮内注射0.1毫升)。25日晨颈部发红并瘙痒;下午耳后、胸、背、头面部先后出现扁平疙瘩,伴腹痛,次日自行消退。25日傍晚发现皮试针眼处有出血点,渐遍及全身.26日晨因无原因地发生鼻出血而去公社诊疗。中午12时始呕血,至下午4时半共呕血4次,约500毫升,初为咖啡色,继而是鲜红色,伴有血块,无胃内容物。即转县医院.27日发现大便黑色。素来体健。发病前无上呼吸道感染症状,无特殊饮食及用药史.既往无药物过敏史、过敏性疾病史、急性传染病史、
Case Summary Zhang × ×, female, 8 years old, primary school students. On the afternoon of September 24, 1977, the tuberculin (abbreviated tuberculin) test (1: 2,000, intradermal injection of 0.1 ml in the left forearm palmar side) was performed for BCG vaccination. On the 25th morning neck redness and itching; afternoon ears, chest, back, head and face have flat lumps, with abdominal pain, the next day on their own subsided. On the evening of the 25th, it was found that there was a bleed point in the skin test needle at the eye area, gradually spreading over the whole body, and commuted to the commune for treatment of epistaxis on the morning of the 26th. At 12:00 noon hematemesis, until 4:30 pm hematemesis 4 times, about 500 ml, first brown, then bright red, accompanied by blood clots, no stomach contents. That is transferred to the county hospital on the 27th found stool black. Has always been healthy. Before the onset of symptoms of upper respiratory tract infection, no special diet and medication history. No past history of drug allergy, history of allergic diseases, history of acute infectious diseases,