论文部分内容阅读
男患儿6岁,入院前一个月曾出现尿频、尿急,当地医院诊断为泌尿系感染,治疗后症状好转。7天前出现上腹部不适伴阵发性疼痛,3天前出现浓茶色尿、低热、呕吐和尿少而入院。既往健康。父母健康。体检:T37.9℃、P108次/分,BP100/60mHg。精神萎靡,面色苍黄。巩膜轻度黄染。唇粘膜及指(趾)甲床苍白。皮肤干燥,弹力稍差。躯干部可见散在小米粒大小喑红色出血点,左膝关节内侧及右踝内侧上部分别有二处硬币大小不规则紫黑色瘀斑。表浅淋巴结不肿大。心音低钝。心前区可闻及Ⅰ级收缩期吹风样杂音。肺听诊正常。上腹部轻度压痛。肝右肋下
Male children 6 years old, one month before admission had frequent urination, urgency, the local hospital diagnosed as urinary tract infection, symptoms improved after treatment. 7 days ago with upper abdominal discomfort with paroxysmal pain, dark brown urine 3 days ago, fever, vomiting and less urine and admission. Past health. Parents health. Physical examination: T37.9 ℃, P108 times / min, BP100 / 60mHg. Apathetic, looking pale. Scleral mild yellow dye. Lip mucosa and finger nail bed pale. Dry skin, stretch slightly less. Torso shows scattered scattered in the size of small red rice 喑 red blood points, the medial left knee and the upper medial of the right ankle, respectively, there are two irregular golden purple petechiae ecchymosis. Superficial lymph nodes are not enlarged. Low heart sound Precordial area can be heard and grade Ⅰ systolic hair-like murmur. Pulmonary auscultation normal. Mild tenderness on the abdomen. Right hepatic ribs