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真性红细胞增多症是急性缺血性脑血管病的原因之一,但临床上并非多见,现将我们收治2例报告如下。例一:周××,男,60岁,一月前因短暂性脑缺血发作(TlA),恢复完全。3天前突然左半身活动不灵,言语不清,口角右斜,伴头痛头晕,病后无恶心呕吐,大小便正常,于82年2月5日入院。查体:血压180/110mmHg,神志清,面及唇粘膜呈紫红色。视网膜动脉变细,反光增强,动静脉交叉处有挤压征象。左侧鼻唇沟变浅。颈无抵抗,心肺正常腹平软,肝未触及,脾肋下1.5cm,中等度硬,
Polycythemia is one of the causes of acute ischemic cerebrovascular disease, but not uncommon in clinical practice, now we receive 2 cases reported as follows. Example 1: Zhou × ×, male, 60 years old, one month ago due to transient ischemic attack (TlA), complete recovery. 3 days ago suddenly left body movement is not working, speech is not clear, right angle diagonal, accompanied by headache, dizziness, nausea and vomiting after illness, normal urine, in February 5, 1982 admission. Examination: blood pressure 180 / 110mmHg, clear mind, face and lip mucosa was purple. Retinal artery thinner, enhanced reflex, arteriovenous cross at the signs of compression. The left nasolabial fissure shallow. Neck non-resistance, normal abdominal heart and lung abdomen, liver not touched, spleen rib 1.5cm, moderate hardness,