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患者,女,13岁。患慢性血吸虫病,于1987年9月30日口服吡喹酮1200mg,分二次服(一日疗法)。10月1日给肝铁片6片/日,10月2日感全身不适,肌肉关节酸痛,双下肢轻度浮肿,足背、踝部出现散在性暗红色瘀斑,微痒,即停服肝铁片,并给予Vit.K、C、强的松口服。未见效果,于10月5日转入本站。查体:T36.8℃,P84次/分,R18次/分,Bp104/68mmHg;巩膜无黄疸,心肺未见异常,肝右肋下扪及,剑突下4cm,质中等,脾未触及。双下肢轻度可凹性浮肿,自腹股沟以下可见散在性瘀斑,大者如蚕豆,小者如绿豆,边缘
Patient, female, 13 years old. Suffering from chronic schistosomiasis, in September 30, 1987 oral praziquantel 1200mg, sub-second service (day treatment). October 1 to the liver iron 6 / day, October 2 a sense of general malaise, muscle and joint pain, mild lower extremity edema, dorsal, ankle scattered scattered red ecchymosis, itching, that is, Liver iron tablets, and given Vit.K, C, prednisone oral. No effect, on October 5 into this site. Examination: T36.8 ℃, P84 times / min, R18 beats / min, Bp104 / 68mmHg; sclera without jaundice, no abnormal heart and lungs, palpable right subcostal palpable xiphoid 4cm, medium quality, spleen not touched. Double lower extremity can be concave edema, the following can be seen from the groin scattered ecchymosis, the larger, such as fava beans, small ones such as mung beans, the edge