1临床资料患者,男性,81岁,因发现全身瘀斑、血细胞减少5 d,发热1 d于2010年8月25日入院。入院前5 d因“突发头晕、呕吐、右上肢乏力”就诊当地医院,查头颅MRI示:多发腔隙性梗死;予丹参酮Ⅱa改善循环处理,头晕、呕吐等症状缓解,但出现皮肤粘膜多处瘀斑,查血常规:WBC 8.6×109/L,HGB 112 g/L,PLT 76×109/L;凝血全套:Fib 0.67 g/L,PT和APTT等指标正常;继续丹参酮Ⅱa治疗,皮肤瘀斑范围扩大,并出现发热,体温最高37.5℃,无畏冷,复查血常规:WBC 9.3×109/L,Hb 77 g/L,PLT 87×109/L;遂转诊我院。 1 Clinical data Patients, male, 81 years old, because of the discovery of systemic ecchymosis, cytopenia 5 d, 1 d fever on August 25, 2010 admission. 5 days before admission due to “sudden dizziness, vomiting, right upper limb fatigue ” visit the local hospital, check the head MRI showed: multiple lacunar infarction; to tanshinone IIa to improve circulation, dizziness, vomiting and other symptoms, but the skin Mucosal ecchymosis, blood routine examination: WBC 8.6 × 109 / L, HGB 112 g / L, PLT 76 × 109 / L; whole blood coagulation: Fib 0.67 g / L, PT and APTT and other indicators of normal; continue tanshinone Ⅱ a treatment , Skin ecchymosis range expanded, and fever, body temperature up to 37.5 ℃, fearless cold, review of blood routine: WBC 9.3 × 109 / L, Hb 77 g / L, PLT 87 × 109 / L;