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病历摘要彭惠兰医师(几童医院)例1女,11岁。因不规则发热二月,两下肢紫癜20余天于1982年10月22日入院。患儿于二月前开始发热,体温持续在39～40℃,用阿斯匹林,索密痛及青霉素治疗无效,用强的松后体温下降,但停药又复升。20天前两下肢出现散在紫癜,面色苍白而入院。体检:体温38.6℃,神志清、贫血貌、无黄染,浅表淋巴结如黄豆、蚕豆大,无压痛。心律齐,心尖区Ⅰ～Ⅱ级SM,肺无啰音。肝肋下6cm,剑突下6cm,脾肋下6cm。两下肢散在瘀点、瘀斑,骨压痛不明
Medical record summary Peng Huilan physician (a few children’s hospital) case 1 female, 11 years old. Due to irregular fever in February, two lower limb purpura more than 20 days in October 22, 1982 admitted. Children with fever began in February, the body temperature continued at 39 ~ 40 ℃, with aspirin, Somuchi and penicillin treatment ineffective, with prednisone body temperature decreased, but the withdrawal and recovery. 20 days ago appeared in both lower extremities purpura, pale and admitted to hospital. Physical examination: body temperature 38.6 ℃, clear consciousness, anemia appearance, no yellow dye, superficial lymph nodes such as soybeans, broad beans, no tenderness. Qi heart, apex area Ⅰ ~ Ⅱ SM, pulmonary arachnoid. Liver ribs 6cm, xiphoid 6cm, spleen ribs 6cm. Two lower extremities scattered petechiae, ecchymosis, bony tenderness unknown