血栓性血小板减少性紫癜系由Moschcowitz于1925年首先描述,迄今国外报告仅400余例。国内仅有少数报告。我院曾收治一例,报告如下。病历摘要:患者欧××,男,22岁,已婚,湖北某歌舞团职员。因发热、发作性神智不清伴皮下出血于1980年5月18日入院。住院号15741。4月16日因受凉感冒后,先觉舌及全身麻木,伴发热(体温38℃左右)、头痛、呕吐、说话吐字不清,不久突然倒地不省人事,持续20余分钟自行缓解。当地医院疑为“病毒性脑炎”,但脑脊液无改变,住院三天,热退后出院。5月8日再次出现类似症状,后又好转。发作时无抽搐及大小便失禁。5月17日在户外活动一整天,晚上即觉发热及右侧舌缘、右侧身体发麻,头痛剧烈,呕吐数次,不久即昏睡,手足不自主活 Thrombotic thrombocytopenic purpura was first described by Moschcowitz in 1925, so far only 400 cases of foreign reports. There are only a few domestic reports. Our hospital has admitted a case, the report is as follows. Medical records summary: patients × ×, male, 22 years old, married, Hubei Song and Dance Company staff. Due to fever, onset of confusion with subcutaneous hemorrhage was admitted on May 18, 1980. Hospitalization 15741. April 16 due to cold and cold, the first sensory tongue and numbness, with fever (body temperature 38 ℃ or so), headache, vomiting, vomiting unclear, and soon suddenly fell unconscious, for more than 20 minutes on their own ease. The local hospital suspected of “viral encephalitis,” but no changes in cerebrospinal fluid, hospitalized for three days, the heat back and discharged. May 8 again similar symptoms, and later improved. No episodes of seizures and incontinence. May 17 in outdoor activities all day long, that is, the night that fever and right tongue edge, the right side of the body numb, severe headache, vomiting several times, and soon that lethargy, hand and foot involuntary activities