Vivian Mark, Kirwan Chris, Grounds Mike
General Intensive Care Unit, 1 Floor St James Wing, St George's Hospital Tooting, London SW19 0QT UK.
Cases J. 2009 Jun 30;2:6294. doi: 10.4076/1757-1626-2-6294.
A 36-year-old woman presents to hospital peri-arrest with hypertension, sustained loss of consciousness following a tonic clonic seizure and a micropathic haemolytic anaemia on blood film. After initial resuscitation, more specialised treatment was instigated as the diagnosis became clearer but all was not as it first seemed. This case demonstrates the importance of re-examination, especially in the critically ill, in conjunction with unusual laboratory tests in order to eventually reach a rare diagnosis of a rare presentation.
一名36岁女性因接近心跳骤停状态被送往医院，她患有高血压，在一次强直阵挛性癫痫发作后持续昏迷，血涂片显示有微血管病性溶血性贫血。经过初步复苏后，随着诊断逐渐明确，采取了更具针对性的治疗措施，但情况并非最初看起来的那样。该病例表明，重新检查非常重要，尤其是对于危重症患者，同时结合不寻常的实验室检查，以便最终得出罕见临床表现的罕见诊断。
