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女性,54岁,因突然抽搐,昏迷和左上肢瘫痪10小时,在当地医院补液后神志清醒,随即转入我院,以感染性脑病及脑血栓形成于1981年9月8日住本院内科.无发热、头痛、头晕、出血及腹痛、腹泻史.既往无高血压史.体温36.2℃,血压120/80,神清,消瘦,皮肤无出血点及皮疹.浅表淋巴结未扪及.左侧面瘫.两侧瞳孔等大.颈软.胸骨无压病、心肺正常.肝脾未触及.左上肢肌力Ⅰ度,左下肢肌力Ⅲ度.病理反射(一).血红蛋白8g,白细胞39400,中性81%,淋巴19%.血小板108万(复查为124万).骨髓象显示有核细胞增生活跃,巨核细胞增生,明显活跃,符合血小板增多症.入院后给予低分子右旋糖酐500ml,静滴,每日一次和马和蓝每日6mg.住院一周后突呕血的50ml,解柏油便一次,贫血加重,经输鲜血400ml,左上肢肌力恢复到Ⅲ度后,病情稍稳定.于1981年9月28日自动出院.出院后曾不规则应用马利
Female, 54 years old, suffering from sudden convulsions, coma and paralysis of the left upper limb for 10 hours. After rehydration at the local hospital, she became conscious and immediately transferred to our hospital to take infectious encephalopathy and cerebral thrombosis. She was admitted to our hospital on September 8, 1981 No fever, headache, dizziness, bleeding and abdominal pain, history of diarrhea .No history of hypertension .Body temperature 36.2 ℃, blood pressure 120/80, Shen Qing, weight loss, skin no bleeding and rash .Shallow lymph nodes not palpable. Lateral paralysis. Both sides of the pupil and other large. Neck soft. Sternum no pressure disease, normal heart and lung. Liver and spleen not touched. Left upper limb muscle strength Ⅰ degree, left lower extremity muscle strength Ⅲ degree. Pathological reflex (A). Hemoglobin 8g, white blood cells 39400 , Neutral 81%, lymphatic 19% .Platelet 1.08 million (review of 1.24 million) .Bone marrow showed active hyperplasia of nucleated cells, megakaryocyte hyperplasia, significantly active, consistent with thrombocythemia.After admission to give low molecular weight dextran 500ml, static Drip once daily and horse and blue daily 6mg.One week after the sudden hematemesis 50ml, once the solution of tar, anemia, blood transfusions 400ml, left upper limb muscle strength restored to Ⅲ degree, the condition slightly stable. In 1981 He was discharged on September 28, 2008. Mali was irregularly administered after discharge