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患者男,27岁,船民,因持续高热2周伴四肢躯干紫癜,牙龈出血9天,于1987年9月21日入院。患者于9月6日起发热38℃左右,2天后体温升高达39℃,持续不退,稍畏寒,食欲略减。大小便正常。病后6天出现两上肢散在出血点,逐日增多,遍及颈部、躯干、四肢和口腔粘膜。既往身体健康,无出血史。体检:体温39℃,脉率112,血压14.63/9.31kPa,发育正常。营养中等。神清,表情淡漠。
Male, 27 years old, boat people, due to sustained high fever 2 weeks with extremities torso purpura, bleeding gums 9 days, on September 21, 1987 admitted. Patients on September 6 fever about 38 ℃, 2 days after the body temperature rose to 39 ℃, persistent, slightly chills, loss of appetite slightly. Normal urine. Six days after the disease, two upper extremities scattered bleeding point, increasing daily, throughout the neck, trunk, limbs and oral mucosa. Past health, no history of bleeding. Physical examination: body temperature 39 ℃, pulse rate 112, blood pressure 14.63 / 9.31kPa, normal development. Medium nutrition. God, expression of indifference.