论文部分内容阅读
患者,男,41岁,左耳听力下降1d,伴头晕及视物旋转,自觉头重脚轻及头内麻木感,无行走蹒跚及酩酊感,耳鸣及视物模糊,偶有眼前发黑,无头痛、复视,无恶心呕吐,近半年来体重减轻约20kg。既往健康。专科查体:双侧鼓膜完整,左耳听力下降。声导抗示双耳A型曲线。纯音测听示左耳神经性聋。腹部彩超示肝大达肋下8.9cm,巨脾达脐上水平。血常规示白细胞计数超出仪器线注。骨髓穿刺细胞学检查骨髓片:增生极度活跃,G=98.5%,E=1%,G/E=98.5。粒系增生活跃,以中
Patients, male, 41 years old, left ear hearing loss 1d, with dizziness and visual rotation, consciously top-heavy and numbness in the head, walking and tingling tinnitus, tinnitus and blurred vision, occasional black eyes, no headache, Diplopia, no nausea and vomiting, weight loss in the past six months about 20kg. Past health. Specialized examination: bilateral tympanic membrane integrity, left ear hearing loss. Acoustic impedance showed both ears A-type curve. Pure audiometry shows left ear deafness. Abdominal color Doppler ultrasound showed that the ribs 8.9cm, giant spleen up to the umbilical level. Blood shows that the white blood cell count is out of the instrument line. Bone marrow aspiration biopsy Bone marrow tablets: hyperplasia extremely active, G = 98.5%, E = 1%, G / E = 98.5. Granulomatous hyperplasia active in