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患者男,38岁,于2010年12月初无明显诱因出现咽痛、乏力,2周后出现四肢皮肤淤斑,在当地医院查血常规:WBC15.37×109/L,Hb134g/L,PLT13×109/L,遂来北京军区总医院就诊。既往体健,否认有毒物质接触史,无不良嗜好,否认家族遗传和传染病史。查体:体温36.9℃,脉搏80次/min,呼吸20次/min,血压120/80mmHg。面容正常,四肢散在淤斑、出血点,无黄染、皮疹,浅表淋巴结未触及肿大,胸骨无压痛,心肺腹查体未见明显异常,双下肢无水肿。辅助检查:入院后查血常规:WBC25.6×109/L,Hb120g/L,PLT9×109/L。
Male, 38 years old, early December 2010 no obvious incentive to cause sore throat, fatigue, 2 weeks after the emergence of extremities skin ecchymosis, check the blood of the local hospital routine: WBC15.37 × 109 / L, Hb134g / L, PLT13 × 109 / L, then came to the Beijing Military Region General Hospital. Past physical health, deny the exposure to toxic substances, no bad habits, deny family history of genetic and infectious diseases. Physical examination: body temperature 36.9 ℃, pulse 80 beats / min, breathing 20 beats / min, blood pressure 120 / 80mmHg. Normal face, scattered limb ecchymosis, bleeding, no yellow dye, rash, superficial lymph nodes did not touch the swelling, no tenderness in the sternum, cardiopulmonary abdominal examination showed no obvious abnormalities, no lower extremity edema. Auxiliary examination: blood routine examination after admission: WBC25.6 × 109 / L, Hb120g / L, PLT9 × 109 / L.