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【简答题】
,男,27岁,在读研究生。2002年9月就诊。一侧腿部因磕碰引起大片紫癜不消,继而另一侧腿部也发生大片紫癜。无其他不适。饮食睡眠尚可,口渴、尿黄便秘。查体:T36.2℃,P84次/分,R20次/分,BP120/80mmHg。腹部多个点状出血点,两腿从上到下都是片的紫癜,双肺呼吸,心率84次/分,律齐,肝脾未及,双下肢无浮肿。舌,苔,脉弦数。辅助检查:PLT12×10 9 /L,骨穿结果如下:骨髓增生明显活跃,系比约为3.3:1。粒系增生活跃,占有核细胞的59.5%。各阶段细胞形态未见明显异常。红系增生活跃,占有核细胞的18.5%,细胞形态大致正常,成熟红细胞形态基本正常。巨核细胞全片见200余个,分类细胞25个:原始巨核细胞1个,幼稚巨核细胞8个,颗粒型巨核细胞16个,产生血小板巨核细胞0个,血小板少见。作出中医病证诊断及西医疾病诊断。
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In a restaurant.
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In spring.
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In a restaurant.
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In a restaurant.
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At an office.
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It is going on well.
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It has failed several times.
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