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患者女,38岁,因骑车时右大腿稍碰撞后出现巨大血肿5天,于1992年8月18日入院.体检:重度贫血貌,皮肤粘膜无瘀点瘀斑,肝助下2cm,脾肋下平脐,右侧大腿根部内侧可见一18cm×18cm巨大血肿,轻压痛,右下肢肿胀.实验室检查:Hb25g/L,WBC170×10~9/L,分类NO.74,LO.6,MO.2,幼稚细胞0.18.血小板数360×10~9/L.NAP0分.骨髓涂片:有核细胞数量显著增多,粒:红=63:1,嗜酸、嗜碱细胞比例增高,外铁(一),内铁Ⅰ型5%.Ph’染色体阳性.KPTT43秒(对照46秒),PT14秒(对照16秒),TT13.8秒(对照15.5秒),三P(+),纤维蛋白原8.48g/L,FDP0.39mg/L.血小板聚集时间41秒,血小板3因子测定:病人富含血
Female, 38 years old, due to a slight hematoma of the right thigh when riding a car after a collision for 5 days, was admitted on August 18, 1992. Physical examination: severe anemia appearance, skin and mucous membrane petechia ecchymosis, liver support 2cm, spleen Ribs flat umbilical, the right thigh medial root visible 18cm × 18cm huge hematoma, mild tenderness, right lower limb swelling. Laboratory tests: Hb25g / L, WBC170 × 10 ~ 9 / L, classification NO.74, LO.6, MO .2, naive cells 0.18. Number of platelets 360 × 10 ~ 9 / L. NAP0 points. Bone marrow smear: a significant increase in the number of nucleated cells, granule: red = 63: 1, increased the proportion of eosinophilic and basophilic cells, (Control), PT13 seconds (control 16 seconds), TT13.8 seconds (control 15.5 seconds), trisp (+), fibrin The original 8.48g / L, FDP0.39mg / L. Platelet aggregation time of 41 seconds, platelet factor 3 assay: the patient is rich in blood