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患者男,59岁。入院前3天无明显诱因反复出现头昏,偶伴左侧嘴角流涎,无头痛耳鸣及恶心呕吐,无视物旋转,头昏发作与体位改变、劳累、情绪激动、饥饿等无关,头昏持续2 h左右自行缓解。常规检查:白细胞1.9×109g/L、血小板54×109g/L,明显低于正常。甲功、肝肾功能正常,骨髓象未见异常。有糖尿病病史10年,高血压病史3年,一直坚持正规治疗。有不明原因白细胞减少病史10年。
Male patient, 59 years old. 3 days before admission there was no obvious incentive to repeatedly dizziness, accompanied by left mouth drooling, no headache, tinnitus and nausea and vomiting, ignoring the object rotation, dizziness and posture changes, fatigue, agitation, hunger, etc., dizziness continued 2 h or so to ease. Routine examination: white blood cells 1.9 × 109g / L, platelet 54 × 109g / L, significantly lower than normal. A power, liver and kidney function is normal, no abnormal bone marrow. A history of diabetes 10 years, history of hypertension for 3 years, has always insisted on regular treatment. There are unknown causes of leukopenia for 10 years.