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以血小板减少为首发表现的乙型肝炎病例临床较少见,早期往往误诊为特发性血小板减少性紫癜(ITP),我院儿科近5年磁到2例,现报告如下。 例,1:男性,14岁。因皮肤出血点伴牙龈出血5天入院,病前无发热、咳嗽及腹泻,无服用药品和x线接触史,既往健康,家族成员无类似病史。体检:一般情况好,皮肤及巩膜无黄染,全身浅表淋巴结无肿大,心肺正常,肝脾无肿大。Hb 108g/L,WBC 8.8×10~9/L,
Thrombocytopenia as the first manifestation of hepatitis B cases are less common, early diagnosis is often misdiagnosed as idiopathic thrombocytopenic purpura (ITP), our hospital pediatric nearly 5 years to 2 cases of magnetic, are as follows. Example, 1: male, 14 years old. Due to skin bleeding with gingival bleeding 5 days admitted to hospital without fever, cough and diarrhea, no medication and x-ray exposure history, past health, family members no similar history. Physical examination: the general situation is good, the skin and sclera without yellow dye, systemic superficial lymph nodes without swelling, normal heart and lung, liver and spleen no enlargement. Hb 108g / L, WBC 8.8 × 10 ~ 9 / L,