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病例患者,男性,54岁。因头晕、乏力、食欲不振10天,右上、下肢疼痛、麻木、活动受限6天入院。就诊前予止痛、扩血管治疗,效果不明显,症状加重。查体:右上肢肌力较左侧弱,右下肢肌力Ⅳ级;巴彬斯基氏征阳性,却铎克征阴性,腰穿脑压不高、脑脊液阴性。血常规:WBC6.96×10~9,RBC2.95×10~(12),Hb95,Pit70×10~9/L,拟诊为脑梗塞,给予改善脑血循环,营养神经治疗。衰竭症状加重,皮肤出现出血点,急检血常规:RBC1.95×10~(12),Hb65,Pit70×10~9/L,末梢血象:中幼粒、晚幼粒细胞偏低,血
Case patient, male, 54 years old. Due to dizziness, fatigue, loss of appetite for 10 days, upper right, lower extremity pain, numbness, restricted activity 6 days admission. Pain relief before treatment, vasodilator treatment, the effect is not obvious, the symptoms worse. Physical examination: the right upper limb muscle strength than the left weak, right lower extremity muscle strength grade; Babinski’s sign positive, but Tory’s sign negative, lumbar pressure is not high, cerebrospinal fluid negative. Blood: WBC6.96 × 10 ~ 9, RBC2.95 × 10 ~ (12), Hb95, Pit70 × 10 ~ 9 / L, to be diagnosed as cerebral infarction, given to improve cerebral blood circulation, nutrition and nerve therapy. Exacerbated symptoms of bleeding, the skin bleeding point, emergency blood test RBC1.95 × 10 ~ (12), Hb65, Pit70 × 10 ~ 9 / L, peripheral blood: medium and young, late promyelocytic low blood