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真性红细胞增多症以周围动脉闭塞和一过性黑矇为首发表现:一例病例报告

Peripheral arterial occlusion and amaurosis fugax as the first manifestation of polycythemia vera. A case report.

作者信息

Berdel W E, Theiss W, Fink U, Rastetter J

出版信息

Blut. 1984 Mar;48(3):177-80. doi: 10.1007/BF00320341.

DOI:10.1007/BF00320341
PMID:6697006
Abstract

A patient with polycythemia vera, who presented digital arterial occlusion and episodic monocular blindness as the first clinical signs of the disease is described. After an early diagnosis, reduction of the cellular blood volume, and intraarterial perfusions with adenosine triphosphate (Laevadosin) followed by reserpine (Serpasil) led to adequate local tissue perfusion. No surgical intervention was required and visual disturbances disappeared. The patient has now been in a stable phase of the disease for 7 months without subsequent treatment.

摘要

本文描述了一名真性红细胞增多症患者,其以手指动脉闭塞和发作性单眼盲作为该疾病的首发临床症状。早期诊断后,通过减少细胞血容量,并先后进行三磷酸腺苷(利脉多辛)和利血平(寿比南)的动脉内灌注,实现了充足的局部组织灌注。无需进行手术干预,视觉障碍也消失了。该患者目前处于疾病稳定期已7个月,未再接受后续治疗。

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Peripheral arterial occlusion and amaurosis fugax as the first manifestation of polycythemia vera. A case report.真性红细胞增多症以周围动脉闭塞和一过性黑矇为首发表现:一例病例报告
Blut. 1984 Mar;48(3):177-80. doi: 10.1007/BF00320341.
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本文引用的文献

1
Intraventricular thrombosis in polycythemia vera: A cause of intractable cardiac failure.真性红细胞增多症中的脑室内血栓形成:难治性心力衰竭的一个原因。
Am Heart J. 1980 Oct;100(4):520-2. doi: 10.1016/0002-8703(80)90667-5.
2
Changes in cerebral blood flow relating to haematocrit and viscosity.与血细胞比容和粘度相关的脑血流量变化。
Scand J Clin Lab Invest Suppl. 1981;156:209-11. doi: 10.3109/00365518109097464.
3
Peripheral vascular symptoms as the initial manifestation of polycythemia vera.外周血管症状作为真性红细胞增多症的初始表现
JAMA. 1970 Nov 23;214(8):1463-7.
4
Aseptic cavernous sinus thrombosis after internal carotid arterial occlusion in polycythaemia vera.真性红细胞增多症患者颈内动脉闭塞后发生的无菌性海绵窦血栓形成。
J Neurol Neurosurg Psychiatry. 1976 Apr;39(4):320-4. doi: 10.1136/jnnp.39.4.320.
5
Gangrene of toes with normal peripheral pulses.脚趾坏疽但外周脉搏正常。
Ann Surg. 1977 Mar;185(3):269-72. doi: 10.1097/00000658-197703000-00003.
6
Polycythemia vera as a cause of ischemic digital necrosis.
Acta Chir Scand. 1978;144(3):129-32.
7
Polycythemia vera and transient monocular blindness. Observation of the platelet embolic phenomena in the ocular fundus.真性红细胞增多症与一过性单眼失明。眼底血小板栓塞现象的观察。
Eur Neurol. 1977;16(1-6):127-35. doi: 10.1159/000114890.
8
Uncommon causes of stroke. Part 2. Changes in blood constituents and hemodynamic factors.
Geriatrics. 1978 Jan;33(1):51-6.