真性紅細(xì)胞增多癥并腦梗死1例
發(fā)布時間:2018-05-22 17:21
本文選題:真性紅細(xì)胞增多癥 + 腦梗死; 參考:《中國老年學(xué)雜志》2017年16期
【摘要】:正真性紅細(xì)胞增多癥(PV)是一種起源于造血干細(xì)胞的克隆性、慢性骨髓增殖性疾病,主要表現(xiàn)為以紅細(xì)胞增多為主的兩系或三系血細(xì)胞增多。血栓形成是其常見的并發(fā)癥,多為腦動脈栓塞,常導(dǎo)致腔隙性腦梗死。1病例資料患者,女性,63歲,農(nóng)民,因"雙下肢乏力"入院;颊哂10月30日凌晨起夜發(fā)現(xiàn)雙下肢乏力,不能行走,伴右側(cè)肢體麻木,無頭痛、嘔吐、意識障礙,無視物成雙、視力下降等不適。既往"腦梗死"、"高血壓"病史10年余。體格檢查:體溫:36.7℃,
[Abstract]:Positive polycythemia (PVV) is a clonal disease originating from hematopoietic stem cells. It is a chronic proliferative disease of bone marrow, mainly characterized by two or three lines of erythrocytosis. Thrombosis is a common complication, mostly cerebral artery embolism, which often leads to lacunar infarction. 1. Female, 63 years old, farmer, admitted to hospital because of "weakness of both lower extremities". The patient found that his lower limbs were weak and unable to walk in the early morning of Oct.30, with numbness of the right limb, no headache, vomiting, disturbance of consciousness, disrespect for things, loss of vision, etc. Past "cerebral infarction", "hypertension" history of more than 10 years. Physical examination: body temperature: 36.7 鈩,
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