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例1:女,66岁。因言语不清并左半身活动不灵2天。于1980年5月22日入院。近2年经常头痛头晕、睡眠欠佳。查体:BP180/100mmHg,神志清,面色紫红,颈软。心肺(-)。肝脾不大。左侧鼻唇沟变浅,伸舌偏左,左侧上下肢肌力Ⅰ级,痛温觉减退,膝反射亢进,病理征(-)。眼底:视网膜动脉硬化明显。入院诊断为脑血栓形成,高血压病并动脉硬化。白细胞10400,中性80%,嗜酸性1%,淋巴17%,单核2%,红细胞760万,血红蛋白20.6g/dl,血小板20万;红细胞压积76%;骨髓象:增生活跃,粒;红为1.5:1,红系增生显著,以中晚幼红细胞为主.巨核细胞增多;血胆固醇255mg/dl;脑脊液正常;心电图:左室劳损。诊断为真红并脑血栓形成。经低分子右旋糖酐、复方红花注射液、马利兰、环磷酰胺等治疗20天,左上下肢肌力恢复至Ⅳ级,血压稳定,红细胞650万,血红蛋白17.5g/dl。
Example 1: Female, 66 years old. Unclear speech and left half body movement is not working for 2 days. Admitted to hospital on May 22, 1980. Nearly 2 years often headache dizziness, poor sleep. Examination: BP180 / 100mmHg, clear mind, looking purple, neck soft. Cardiopulmonary (-). Small spleen and liver. Left nasolabial fissure shallow tongue extensor left, upper left and right leg muscle strength Ⅰ, pain, fever and hypoparathyroidism, knee hyperreflexia, pathological sign (-). Fundus: retinal atherosclerosis obvious. Admission diagnosis of cerebral thrombosis, hypertension and atherosclerosis. Leukocyte 10400, neutral 80%, eosinophilic 1%, lymph 17%, mononuclear 2%, erythrocyte 760 million, hemoglobin 20.6g / dl, platelet 200,000; hematocrit 76% Red 1.5: 1, erythroid hyperplasia significantly, mainly in the middle and late young erythrocytes. Megakaryocytes increased; blood cholesterol 255mg / dl; normal cerebrospinal fluid; ECG: left ventricular strain. Diagnosis is true red and cerebral thrombosis. Low molecular weight dextran, compound safflower injection, Maryland, cyclophosphamide and other treatment for 20 days, the left upper limb muscle strength recovered to grade Ⅳ, stable blood pressure, 6.5 million red blood cells, hemoglobin 17.5g / dl.