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以急性脑梗死为首发症状的急性粒细胞白血病M3型1例并文献复习

A Case of M3 Type of Acute Myeloblastic Leukemia with Initial Symptoms of Acute Cerebral Infarction and Related Literature Review
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摘要 目的报道1例以急性脑梗死为首发症状的急性粒细胞白血病M3型,分析其临床特征,提高神经科医生对该病的认识。方法对1例以急性脑梗死为首发症状的急性粒细胞白血病M3型患者的临床资料结合文献进行回顾性分析。结果以急性脑梗死为首发症状的白血病很少见,发病机制复杂。合并弥漫性血管内凝血的患者发病凶险,进展更快。结论以急性脑梗死为首发症状的急性粒细胞白血病M3型很少见,极易误诊、漏诊,早期诊断、早期治疗对患者的预后十分重要。 Aim To report 1 case of acute myelocytic leukemia M3 type with initial symptoms of acute cerebral infarction, and analyze its clinical characteristics. Methods The clinical data of the patients with acute myelocytic leukemia M3 type, who displayed initial symptoms of acute cerebral infarction, combined with literature were retrospectively analyzed. Results It is rare for the patients with acute myelocytic leukemia M3 type displaying initial symptoms of acute cerebral infarction. When combined with diffuse intravascular coagulation, the situation would be dangerous and progress rapidly. Conclusion The acute cerebral infarction as starting symptoms of acute myelocytic leukemia M3 type is rare, which is easily misdiagnosed and missed diagnosis, early diagnosis and early treatment is very important for the prognosis of the patients.
出处 《中国临床神经科学》 2016年第4期399-404,共6页 Chinese Journal of Clinical Neurosciences
关键词 急性脑梗死 急性粒细胞白血病M3型 血栓形成 出血 弥漫性血管内凝血 cerebral infarction acute myelocytic leukemia M3 type thrombosis bleed diffuse intravascular coagulation
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