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真性红细胞增多症是一种以红细胞异常增生为主的慢性骨髓增殖性疾病,其并发上矢状窦血栓形成者颇为少见。现将我们遇到的1例报告如下: 患者,男性,38岁。因视物模糊,头痛呕吐32天于1986年7月6日入院。一月前无明显诱因出现头昏,乏力,视物不清,继之出现全头持续性胀痛,伴阵发性加剧,头痛剧烈时面部发红,大汗及频繁喷射状呕吐。症状晨起时稍缓解,午后更著。查体:血压13.3/10.7kPa。神清,肥胖体型,面部呈红紫色,球结膜充血,颈软,心肺无特殊,肝肋下2cm,质中,脾脏未扪
Polycythemia vera is an erythroid dysplasia based chronic myeloproliferative diseases, its complicated by the upper sagittal sinus thrombosis is quite rare. Now we have encountered a report as follows: Patient, male, 38 years old. Due to blurred vision, vomiting headache 32 days in July 6, 1986 admission. A month ago there was no obvious incentive to dizziness, fatigue, blurred vision, followed by persistent headache, accompanied by paroxysmal aggravated headaches severe facial redness, sweating and frequent jet-like vomiting. Symptoms ease slightly morning, even more in the afternoon. Physical examination: blood pressure 13.3 / 10.7kPa. God clear, fat body, face was purple, conjunctival congestion, neck soft, no special cardiopulmonary, hepatic ribs 2cm, quality, the spleen is not palpable