叶酸治疗巨幼细胞贫血中出现精神症状1例
JOURNAL OF BAOTOU MEDICAL COLLEGE(2000)
Abstract
1 临床资料
患者女性,66岁,因头晕乏力手足麻木疼痛于1997年6月27日就诊.否认精神病史,否认精神病遗传家族史.查体:重度贫血貌,牛肉舌.血常规:WBC3.15×109/L,Bpc80×109/L,Hb45g/L,网织红细胞0.016,末梢血涂片及骨髓象符合巨幼细胞贫血改变.诊断:巨幼细胞贫血.予叶酸治疗,当天口服叶酸10mg,当晚8时出现躁动、谵语、问答不准确、不识熟人等精神症状.病理反射(-).
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