内科理论与实践 ›› 2023, Vol. 18 ›› Issue (05): 356-358.doi: 10.16138/j.1673-6087.2023.05.010
王金于, 上官丽娟, 史可, 闫卫红(
)
收稿日期:2023-03-01
出版日期:2023-10-30
发布日期:2024-01-26
通讯作者:
闫卫红
E-mail:yanweihong1971@163.com
WANG Jinyu, SHANGGUAN Lijuan, SHI Ke, YAN Weihong()
Received:2023-03-01
Online:2023-10-30
Published:2024-01-26
Contact:
YAN Weihong
E-mail:yanweihong1971@163.com
中图分类号:
王金于, 上官丽娟, 史可, 闫卫红. 以认知行为异常为首发症状的真性红细胞增多症合并脑梗死1例[J]. 内科理论与实践, 2023, 18(05): 356-358.
WANG Jinyu, SHANGGUAN Lijuan, SHI Ke, YAN Weihong. A case of polycythemia vera complicated with cerebral infarction with cognitive behavior abnormality as the first symptom[J]. Journal of Internal Medicine Concepts & Practice, 2023, 18(05): 356-358.
图1
头颅MRI 箭头示右侧顶、颞、枕叶、基底节区、侧脑室旁，左侧丘脑、颞、枕叶多发急性脑梗死。
表1
发病后监测血液常规参数指标
| 正常范围 | 红细胞（×1012/L） | 血红蛋白（g/L） | 红细胞压积（%） | 白细胞（×109/L） | 血小板（×109/L） | ||
|---|---|---|---|---|---|---|---|
| 3.5~5.5 | 110~160 | 37~543） | 40~504） | 4~10 | 100~3003） | 125~3504） | |
| 发病后第7天 | 6.89 | 203 | 65.1 | 13.8 | 389 | ||
| 发病后第10天1） | 6.03 | 177 | 56.7 | 22.2 | 315 | ||
| 发病后第17天 | 6.60 | 205 | 60.3 | 19.5 | 328 | ||
| 发病后第22天2） | 6.26 | 197 | 57.8 | 14.3 | 271 | ||
图2
头颅MRI 箭头示右侧脑室旁、基底节区、左侧枕叶急性出血性梗死可能；双侧颞叶急性、亚急性梗死；左侧额叶皮层下、侧脑室旁缺血灶。
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