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患者女性,30岁.因反复鼻衄,月经过多3年,症状加重10天于1989年1月30日入院.患者17岁月经初潮,经量过多,常有皮肤瘀斑与鼻衄,在某院住院确诊为特发性血小板减少性紫癜(ITP),经糖皮质激素治疗后PL升至110×10~9/L出院.出院后停服强的松,月经一直过多,经期8～12天.偶有皮肤瘀斑及齿龈出血.体检:贫血貌,全身皮肤可见散在性出血点,浅表淋巴结不肿大.心肺听诊正常,肝脾未及.血Hb04g/L,WBC10×10~9/L,P82%,L14%,M4%,Plt8×10~9/L,BT2’,CT2’,PT正常.IgG8.84g/L,IgA3.63g/L,IgM1.05g/L,C_31.09g/L.骨髓增生活跃,粒:幼红=1.15:1;粒系增
Female patient, age 30. Due to repeated epistaxis, menorrhagia for 3 years, 10 days aggravating symptoms were admitted to hospital on January 30, 1989. Patient 17 years of menarche, excessive volume, often with skin ecchymosis and epistaxis, In a hospital diagnosed as idiopathic thrombocytopenic purpura (ITP), after glucocorticoid treatment PL increased to 110 × 10 ~ 9 / L discharged after discharge prednisone, menstruation has been excessive, menstruation 8 ~ 12 days. Occasionally skin ecchymosis and bleeding gums. Physical examination: anemia appearance, systemic scattered bleeding spot, superficial lymph nodes are not enlarged. Cardiopulmonary auscultation normal, liver and spleen not. Blood Hb04g / L, WBC10 × 10 PT9, L8%, P8%, P8%, P8%, P8%, P8%, P8% .09g / L. Bone marrow hyperplasia active, grain: young red = 1.15: 1;