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患者女,17岁,学生。1986年4月8日左臂皮下注射1:2000旧结核菌素0.1ml。此后无药物接触史,于第五天四肢皮肤出现散在出血点,伴有恶心、呕吐、腹痛、柏油样便。第七天出现肉眼血尿,于1986年4月18日以过敏性紫癜收入院。查两睑轻度浮肿,四肢可见散在的皮下出血点及片状大小不等淤斑,形状不规则,下肢较显著。脐周及下腹轻度压痛,无反跳痛。肾区叩痛(+),两下肢轻度浮肿。化
Female patient, 17 years old, student. April 8, 1986 subcutaneous injection of the left arm 1: 2000 old tuberculin 0.1ml. There was no history of drug contact since then. On the fifth day, extremities bleed on the skin of the extremities with nausea, vomiting, abdominal pain and tarry stools. The seventh day of gross hematuria, on April 18, 1986 with allergic purpura income hospital. Check the two eyelids mild edema, visible scattered limbs scattered subcutaneous bleeding spots and ranging in size from ecchymosis, irregular shape, lower limbs more significant. Umbilical and lower abdomen mild tenderness, no rebound tenderness. Perforating kidney area (+), mild swelling of both lower extremities. The