病历摘要刘×,男,13个月,因不规则发热3月余,出现瘀点1月多,于1981年7月31日入院。入院前4个月患儿曾因受凉腹泻,一周后又注射“脑炎”疫苗,当日发热,未治,三日退热。以后经常低热、咳嗽,抗菌素治疗无效。入院前3个月高热、咳嗽、肝脾肿大(肝功正常),以“肺炎”曾住院,经静脉给抗菌素稍有好转,但查尿有蛋白及颗粒管型,上腭出现大片溃疡及白膜。曾服氯霉素一周。2个月前发现指、趾甲发红、变紫、增厚。因症状无好转而转院,经氨基苄青霉素治疗一周后,小便正常,口腔溃疡稍有好转。入院前一月发现大腿 Medical record summary Liu ×, male, 13 months, due to irregular fever more than 3 months, more than 1 month petechia, admitted on July 31, 1981. Four months before admission, he had suffered a cold diarrhea and a week later he injected “encephalitis” vaccine. On the day of fever, he was not cured and was relieved on the 3rd. After the usual low fever, cough, antibiotic therapy ineffective. 3 months before admission, fever, cough, hepatosplenomegaly (normal liver function), “pneumonia” had been hospitalized, slightly improved by intravenous antibiotics, but check urinary protein and granular tube type, appeared on the palate large ulcers and White film. Had taken chloramphenicol a week. 2 months ago found that fingernails redness, purple, thickening. Transferred to hospital without improvement due to symptoms, aminobenzyl penicillin after a week of normal urine, mouth ulcers a little better. The thigh was found in January before admission