Elderly patients with acute leukemia and severe reduction of platelet combined 1 case of ischemic cerebrovascular disease.docVIP

 PAGE \* MERGEFORMAT 8 Elderly patients with acute leukemia and severe reduction of platelet combined 1 case of ischemic cerebrovascular disease Of: Li Ying Diao Lanping Wuli Li Wang Wei Zhang Yanru [Keywords:] Acute leukemia / elderly; infarction; ischemic cerebrovascular disease Leukemia is a hematological elderly high risk of severe disease, high mortality and poor prognosis. Because the primary blood diseases associated with thrombocytopenia or more easily understood dysfunction complicated with cerebral hemorrhage, cerebral infarction is relatively rare (a), and chemotherapy in patients aged When severe thrombocytopenia after cerebral infarction were reduced even more uncommon. 1 Case Summary Patients, female, 74 years old. Main cause of fatigue, anorexia February, fever, herpes zoster 1 w back left shoulder admission. Deny hypertension, coronary heart disease and diabetes. No infectious diseases and radiation history of exposure to toxic substances and special history of drug use. Check body: body temperature 38 , pulse 80 / min, heart rate 20 times / min, blood pressure 125/80 mmHg, anemic appearance, the left shoulder back, left upper arm, forearm and the left hand side shows the ulnar herpes, clustering like distribution. limbs abdominal and back scattered bleeding points and ecchymosis. superficial lymph nodes untouched. oral mucosa on the palate fresh and bleeding, lower lip blood blister. no abnormal cardiopulmonary physical examination, enlargement of liver and spleen not palpable. neurological examination without exception. blood: white blood cell (WBC) 169.4 109 / L, hemoglobin (HGB) 87 g / L, platelet (PLT) 9 109 / L. Coagulation (PT) 15.4 s, prothrombin time (APTT) 27.7 s, fibrinogen (Fib) 2.18 g / L, D dimer 4 mg / L. Bone marrow: an extremely active nuclear proliferation, myeloid dysplasia, with primitive myeloid ( + Type) mainly accounted for 85%, 12% promyelocytic; red giant two-line significantly inhibited, mature red blo