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1955年Gasser等报告5例在患胃肠炎后发生后天性溶血性贫血和血小板减少,并因急性肾功衰竭而死亡的病例,称为溶血性尿毒症性综合症。目前文献报道本病累计已达几百例,随着对本病认识的加深,临床确诊率亦在逐步提高。已知我国公开发表的有3例,现将我们近来所作一例尸检病例,报告如下: 病历摘要患者男性,17岁。平素易感冒。两周前痰中带血。四天前发烧,巩膜、皮肤黄染,恶心呕吐,血尿,黑便。于1976年4月29日入院。体检:体温正常,脉搏72次/分,血压110/70mmHg。神智清楚,表情淡漠,面色苍白。巩膜、皮肤黄染,前胸及四肢皮肤可见散在出血点。双肺无啰音,心界不大,心率72次/分,律正,心尖区可闻Ⅱ级收缩期杂音,不向腋下
In 1955, Gasser et al. Reported 5 cases of hemolytic anemia and thrombocytopenia after gastroenteritis and died of acute renal failure, which was called hemolytic uremic syndrome. The current literature reported that the cumulative number of cases has reached hundreds of cases, with the deepening understanding of the disease, the clinical diagnosis rate is gradually increased. Known in China published in 3 cases, now we make a recent autopsy cases, the report is as follows: Medical records Summary Male patients, 17 years old. Usually easy to cold. Sputum bloody two weeks ago. Four days ago, fever, sclera, yellow skin, nausea and vomiting, hematuria, melena. On April 29, 1976 admitted. Physical examination: normal body temperature, pulse 72 beats / min, blood pressure 110 / 70mmHg. Clever, apathetic, pale. Sclera, yellow skin, chest and limbs visible scattered blood spots. No ailment of lungs, heart is not big, heart rate 72 beats / min, law is, apex area can be heard Ⅱ systolic murmur, not to the armpit