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患者,男,75岁。有胃溃疡24年,高血压10年,四肢间歇皮下出血4年。4年前胃溃疡出血时查血象:RBC3.79×10~(12)/L,Hb125g/L,WBC12.69×10~9/L,分类正常,未查血小板。肝功能正常,B超脾大肋下3cm。未予追踪。因咳嗽、气促10天于1995年7月22日入院。查体:T37℃,P95次/分,R25次/分,BP23/16kPa。唇绀,皮肤无红紫,四肢散在皮下瘀斑,浅表LN(-),颈静脉怒张,双肺闻喘鸣音,心率116次/分,肝未及,脾肋下8cm。血象:RBC6.70×
Patient, male, 75 years old. There are stomach ulcers for 24 years, hypertension for 10 years, and limbs have subcutaneous bleeding for 4 years. Four years ago, he had hemograms when he had gastric ulcer bleeding: RBC 3.79×10~(12)/L, Hb125g/L, WBC12.69×10~9/L. The classification was normal and no platelets were examined. Liver function is normal, and B-ultrasound is 3 cm below the ribs. Not tracked. He was admitted to hospital on July 22, 1995 due to cough and shortness of breath. Physical examination: T37°C, P95 beats/min, R25 beats/min, BP23/16kPa. Lipstick, skin without reddish purple, limbs scattered in the subcutaneous ecchymosis, superficial LN (-), jugular vein engorgement, lung sound wheezing, heart rate 116 beats / min, liver and spleen rib 8cm. Blood: RBC 6.70×