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临床讨论Majerus医师:病人从表面上看,过去健康良好,直至入院前1年,发现容易皮下出血。虽然病人肥胖,但体重减轻达6磅。无饮酒史。入院时重要体征包括:血压无体位性改变,无瘀点。心肺正常,脾脏未能触及。大便愈创木脂试验阳性,但其它各项检查均阴性。入院当日骨髓检查,见骨髓细胞增生,伴有红细胞和巨核细胞增生。拟诊为特发性血小板减少性紫癜(idiopathic thrombocytopenic purpura,ITP),给予强的松治疗,剂量100mg每天4次,并
Clinical Discussion Majerus MD: The patient was, on the face of it, healthy and was found to be prone to subcutaneous hemorrhage until one year before admission. Although the patient was obese, he lost 6 pounds. No drinking history. Important signs of admission include: no physical changes in blood pressure, no petechia. Cardiopulmonary normal spleen failed to reach. Guaiacol test stool positive, but other tests were negative. Bone marrow examination on the day of admission, see bone marrow cell proliferation, accompanied by erythrocyte and megakaryocyte hyperplasia. To be diagnosed idiopathic thrombocytopenic purpura (idiopathic thrombocytopenic purpura, ITP), given prednisone treatment, the dose of 100mg 4 times a day, and