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女,35岁,因发热,胸骨部疼痛.全身散在瘀点瘀斑、阴道不规则流血1周而于1983年9月10日入院。月经史16(3～5)/(30±),量中等,停经38天,末次月经8月3日。20岁结婚,顺产二胎。已作结扎手术。入院检查:体温39.2℃,脉搏140次,呼吸30次,血压130/70。发育营养佳,神清,呼吸急促,面色苍白,呈重度贫血貌,全身散在瘀点瘀斑,两胁肋部及臀部融合成片。浅在淋巴结不肿大。胸骨叩击痛(+),心音低钝,两肺(一),腹软,无压痛,肝肋下1.5cm,质软,压痛(-)。脾(-)。移动性浊音(+)。妇科检查:已婚经产式,宫颈口闭,阴道有少量流血,宫体前位,正常大小,附件未扪及包块,
Female, 35 years old, due to fever, pain in the sternum. Body scattered petechiae, vaginal irregular bleeding for 1 week and in September 10, 1983 admission. Menstrual history of 16 (3 ~ 5) / (30 ±), moderate, menopause 38 days, the last menstrual August 3. 20-year-old married, second child birth. Ligation surgery has been done. Admission examination: body temperature 39.2 ℃, pulse 140 times, breathing 30 times, blood pressure 130/70. Development of good nutrition, dexterity, shortness of breath, pale, was severe anemia appearance, body scattered petechiae, two threatening ribs and buttocks into pieces. Shallow lymph nodes are not enlarged. Sternal percussion pain (+), low heart sound blunt, two lungs (a), abdominal soft, no tenderness, liver ribs 1.5cm, soft, tenderness (-). spleen(-). Mobility (+). Gynecological examination: Married through the type, cervix closed, a small amount of vaginal bleeding, Palace anterior, normal size, attachment not palpable mass,