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病历介紹 病人×××,住院号34135,男,5岁,入院时主訴为間歇性水肿約1年多,咳嗽,发燒及血样使10多天。病人于住院前15个月有全身性水肿及发燒,夜間燒高;曾在其他医院住院診治,診断为腎炎。此后病人常发燒且肿約5—6次。住院前一个月家屬发現患儿胸部及上下肢有青紫块,在門診診断为繼发性紫瘢。住院前10多天病孩有发燒及咳嗽,在臍的周围有陣发性腹痛。大便一天2—3次,血多于脓;小便每日8—9次,黄色,量微少。过去史:正常足月生产,发育正常,两岁患麻疹。家庭史:父有慢性咳嗽。母于55年在某医院透視为肺結核,服用異烟肼及魚肝油。兄弟各一人,均健在。
Patient presentation XX ×, hospital number 34135, male, 5 years old, admitted to the hospital for intermittent edema for about 1 year, cough, fever and blood samples for more than 10 days. The patient had generalized edema and fever 15 months before hospitalization and had a fever at night. He was hospitalized in other hospitals for diagnosis and treatment of nephritis. Since then the patient often have fever and swollen about 5-6 times. One month before hospitalization, the family members found that children with chest and upper extremity have purple blocks in the diagnosis of secondary purple scar in the clinic. More than 10 days before hospitalization, the sick child has fever and cough, with paroxysmal abdominal pain around the umbilicus. Stool 2-3 times a day, blood more than pus; urine daily 8-9 times, yellow, slightly less. Past history: normal full-term production, normal development, two-year-old suffering from measles. Family history: the father has a chronic cough. The mother in 55 years in a hospital perspective as tuberculosis, taking isoniazid and cod liver oil. Each one brother, are alive.