论文部分内容阅读
患者,女,38岁。因双下肢反复出现紫癜3年,加重15d于2001年4月16日入院。患者3年来常无诱因出现双下肢紫癜,多次在某院查血小板计数、出凝血时间均正常,诊断为过敏性紫癜。服异丙嗪、维生素C等治疗,紫癜仍反复出现而来我院。发病以来,龋齿多,夜尿多(夜尿4-5次)。既往史:1990年因突然四肢无力,活动障碍,住北京某院诊断为低血钾,肾小管酸中毒。1993年早产后常感胸痛、腰痛,骨密度测定示重度骨质疏松,长期间断服用枸橼酸钾、钙片、α-D3,中药等治疗。家族中无遗传病史。体格检查:生命体征正常,四肢皮肤干燥,双下肢皮肤散在出血点,以小腿处为多,米粒大小,暗红色,稍隆起,新旧
Patient, female, 38 years old. Due to repeated lower extremities purpura 3 years, 15d heavier on April 16, 2001 admission. Patients with no incentive for the past three years, often lower extremity purpura, check the number of platelets in a hospital many times, the clotting time are normal, the diagnosis of allergic purpura. Services promethazine, vitamin C and other treatment, purpura is still recurring to our hospital. Since the onset of dental caries, nocturia and more (nocturia 4-5 times). Past history: In 1990 due to sudden limb weakness, activity disorders, living in a hospital in Beijing diagnosed as hypokalemia, renal tubular acidosis. Chest pain, lumbago, and bone mineral density were often observed after preterm delivery in 1993. Severe osteoporosis was observed. Long-term intermittent administration of potassium citrate, calcium tablets, α-D3, and Chinese herbs was also taken. Family history of no genetic disease. Physical examination: normal vital signs, dry skin and limbs, bleeding in both lower extremity skin scattered to the calf, rice size, dark red, slightly elevated, old and new