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患者黄××,男,24岁。因左膝内翻伴翻骨脱位,于1989年3月12日住入我院,准备手术。既往史曾提及有“血小板减少症”。 体检:体温37°C,脉搏86次/分,血压10/9kPa,心肺正常,肝脾未扪及。全身皮肤无出血点和紫斑。左膝关节内翻畸形,髋骨向外脱位。化验:Hb115g/L,WBC4.4×10~9/L,中性71,淋巴29,BPC88×10~9/L,出血时间2分钟、凝血时间2分30秒,肝功能正常。 住院后第三天在我院楼上跌倒,右臀及右手触地,当晚觉右侧腹痛伴剧烈腰痛。查,右侧腹压痛(+),右肾区叩痛(+),血常规正常,尿RBC(-),曾
Patient Huang × ×, male, 24 years old. Due to left knee varus osteotomy, March 12, 1989 admitted to our hospital, ready for surgery. Past history has mentioned “thrombocytopenia.” Physical examination: body temperature 37 ° C, pulse 86 beats / min, blood pressure 10 / 9kPa, normal cardiopulmonary, liver and spleen not palpable. Whole body skin without bleeding spots and purple spots. Left knee varus deformity, hip dislocation. Laboratory: Hb115g / L, WBC4.4 × 10 ~ 9 / L, neutral 71, lymph 29, BPC88 × 10 ~ 9 / L, bleeding time 2 minutes, clotting time 2 minutes and 30 seconds, normal liver function. The third day after hospitalization in our hospital upstairs fall, right hip and right hand touchdown, right night pain with severe left back pain. Right lateral abdominal tenderness (+), right kidney area percussion pain (+), normal blood, urine RBC (-), had