梅毒伴继发性抗凝血因子抗体阳性1例
Journal of the Fourth Military Medical University（2008）
Abstract
1 病例报告 患者,男性,74岁,因全身皮肤粘膜出血和肉眼血尿1 wk入院.患者血尿呈长条形块状,无尿频、尿急、尿痛,发热和腰痛,曾在外院行抗炎止血等对症治疗后无明显好转,且出现下腹部胀,排尿困难而入院.查体:T 37.7℃;P 80次/min;R 19次/min,Bp 130/75 mmHg.皮肤可见多处瘀斑,以臀部为主,阴囊及右下肢水肿明显,左侧腰部带状疱疹;咽后壁出现大量串珠状小血疱,稍碰即出血,心肺未见异常,双肾区无红肿、无压痛.CT示左肾积水、左肾盂占位病变待查;左盆腔肿块性质待查.
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