例1:男,48岁。反复鼻衄,牙龈出血3年,加重10天于1985年12月17日入院。患者于3年前因血吸虫病早期肝硬化伴全血细胞减少行脾切除术.术后血小板恢复正常,但2个月后血小板又开始下降。术后3年中反复少量鼻衄,牙龈出血,多次查血小板,均在50～70×10~9/L 左右。查体:皮肤未见出血点,无黄疸,浅表淋巴结不大,牙龈有明显活动性出血灶。两肺(一)。心律齐,心 Example 1: Male, 48 years old. Repeated epistaxis, bleeding gums 3 years, increased 10 days in December 17, 1985 admission. The patient was splenectomized 3 years earlier because of schistosomiasis with cirrhosis and pancytopenia, and postoperative platelets returned to normal, but platelets began to decline again after 2 months. After 3 years of repeated small amount of epistaxis, bleeding gums, check platelets many times, all in the 50 ~ 70 × 10 ~ 9 / L or so. Physical examination: No bleeding on the skin, no jaundice, superficial lymph nodes, bleeding gums significantly active. Two lungs (a). Qi heart, heart