1病历摘要患儿男,8岁,主因“血尿1周,发热5d,皮肤瘀斑4d”于2009-10-25收入甘肃省人民医院儿科。患儿入院前1周出现血尿,为茶色尿,家属未予重视,入院前5d出现发热,无咳嗽、咳痰,自服感冒药(具体不详)后症状无明显缓解,入院前4d出现全身皮肤黏膜散在瘀点、瘀斑,无腹泻、 1 medical records Abstract Male, 8 years old, mainly due to “hematuria 1 week, fever 5d, ecchymosis 4d ” in 2009-10-25 income Gansu Provincial People’s Hospital Pediatrics. 1 week before admission, hematuria was found in urine and brown urine was not observed. There was no fever, no cough, phlegm and self-serving cold medicine (specific unknown) after 5 days before admission. No obvious symptoms were relieved. Whole body skin appeared 4 days before admission Mucosa scattered petechia, ecchymosis, no diarrhea,