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患者男性9岁,于1968年1岁时发现肝脾肿大、间歇性鼻衄、紫癜,1976年入我院。在此9年间向各地求治,病情不见好转,且于1975年出现出血倾向,血小板由5.4万/立方毫米降至3.0万/立方毫米,骨髓象呈脾亢进表现,但未查到高雪氏细胞。入院检查,患者营养不良,贫血,四肢伸侧有多处瘀斑,脾大在肋下9厘米,硬、表面光滑、活动良好。肝在肋下3厘米,心前区可听到Ⅲ级收缩期杂音。血色素8.5克、白细胞4950,出血时间3′30″,凝血时间30″,血小板2.35万/立方毫米,毛细血营脆性(+),凡登白直接反应与间接反应均
Male patients 9 years old, in 1968 1 year old found hepatosplenomegaly, intermittent epistaxis, purpura, into my hospital in 1976. In this 9 years to seek treatment throughout the country, the condition did not improve, and in 1975 hemorrhagic tendency, platelets from 54,000 / cubic millimeter to 30,000 / cubic millimeter, bone marrow showed hypersplenism, but did not find the high snow’s cells . Admission examination, patients with malnutrition, anemia, extensor limbs have multiple ecchymosis, splenomegaly in the ribs 9 cm, hard, smooth surface, good activity. Liver in the ribs 3 cm, precordial area can hear Ⅲ systolic murmur. Hemoglobin 8.5 grams, 4950 white blood cells, bleeding time 3’30 “, clotting time 30”, platelet 23,500 / cubic mm, capillary camp brittleness (+), Vandenbai direct and indirect reactions were