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男患,32岁,因急性粒细胞白血病多次用 HOAP方案化疗.山于 WBC 减少至1.58×10~9/L 而停止化疗.患者自服碳酸锂2.4g/d.连服3天出现癫痫大发作:四肢抽搐,角弓反张,口吐白沫,全身发绀,意识丧失,持续3分钟自行缓解.入院查体:贫血貌,全身皮肤可见少量散在出血点,心肺无异常,肝肋下1.5cm.神经系统检查仅双侧巴彬斯基征(±),Hb85g/L.WBC3.2×10~9/L,脑脊液
Male, 32 years old, because of acute myeloid leukemia with HOAP chemotherapy. Mountain in WBC reduced to 1.58 × 10 ~ 9 / L and stop chemotherapy. Patients with lithium carbonate 2.4g / d. Even for 3 days with epilepsy Big episodes: limbs twitch, corner bow anti-Zhang, foaming at the mouth, body cyanosis, loss of consciousness, sustained 3 minutes to ease their own admission examination: anemia appearance, systemic scattered a small amount of scattered bleeding, no abnormal heart and lung, liver ribs 1.5cm. Nervous system examination only bilateral Babinski sign (±), Hb85g / L.WBC3.2 × 10 ~ 9 / L, cerebrospinal fluid