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病毒性肝炎并再生障碍性贫血(再障)临床上仍较少见,现将我院收治1例报告如下。朱×,女,13岁,因纳差、乏力、尿黄月余,皮肤紫癜伴发热4天于1991年7月15日入院。患儿于1月前出现纳差、乏力、皮肤、巩膜黄染、尿色深黄,曾在当地医院检查肝功异常诊为肝炎,应用中西药物治疗曾一度好转。但于4天前症状再度加重,皮肤出现紫癜,伴发热。既往无贫血及出血病史,否认毒物接触及药物过敏史,近期当地有“肝炎”流行。体检:T37.8℃、P100次/分、R27次/分、BP13.3/9.3kPa,神志清,精神差、贫血貌、皮肤、巩膜明显黄染,周身皮肤有散在出血斑点,心肺(-)、腹平
Viral hepatitis and aplastic anemia (aplastic anemia) is still clinically rare, now a hospital in our hospital reported the following. Zhu ×, female, 13 years old, due to anorexia, fatigue, urinary yellow moon more than skin purpura with fever 4 days in July 15, 1991 admission. Children with anorexia before 1 month, fatigue, skin, scleral yellow dye, dark yellow urine, liver dysfunction was checked at a local hospital diagnosed with hepatitis, the application of Chinese and Western medicine treatment was once improved. But the symptoms aggravated again 4 days ago, the skin purpura, with fever. Past no history of anemia and bleeding, denied the history of drug contact and drug allergies, the recent local “hepatitis” epidemic. Physical examination: T37.8 ℃, P100 beats / min, R27 beats / min, BP13.3 / 9.3kPa, clear spirit, poor spirit, anemia appearance, skin, sclera obvious yellow dye, scattered around the skin with bleeding spots, ), Abdominal flat