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慢粒白血病(简称CML)合并中枢神经系统浸润者少见,同时伴颅神经损害者更少见,现报告1例。 男,45岁,因疲乏无力及左上腹包块于1993年3月确诊CML。当时WBC 180×10~9/L,口服羟基脲每次1.0,每d 3次,半月后血象稳定为8.0×10~9/L左右,左上腹包块消失,后改服中药治疗1月余(具体药方不详)。近10d又有低热乏力并右侧面瘫第2次住院。查体:神清,体温37.5℃,右侧额纹消失。眼裂大,闭合不全,眼球运动自如。右侧鼻唇沟浅,口角低,不能鼓腮、露齿。颈软,触及
CML patients with central nervous system infiltration rare, accompanied by cranial nerve damage are more rare, is reported in 1 case. Male, 45 years old, diagnosed with CML due to weakness and left upper quadrant mass in March 1993. At that time WBC 180 × 10 ~ 9 / L, oral hydroxyurea every 1.0, every 3 d, half a month after the blood was stable as 8.0 × 10 ~ 9 / L left upper abdominal mass disappeared after the change of service for more than 1 month of traditional Chinese medicine (Specific prescription is unknown). Nearly 10d have low fever and paralysis of the right side of the second hospitalization. Physical examination: God clear, body temperature 37.5 ℃, right frontal pattern disappeared. Eye crack large, incomplete closure, eye movement freely. Right nasolabial groove shallow mouth low angle, can not drum gills, toothy. Neck soft, touching