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杀虫脒农药对血液系统的影响主要见于粒细胞系统,对血小板的影响少见,现报道1例。陈某,女,29岁,因口服杀虫脒250ml,经当地输血,静脉注射亚甲蓝等治疗3天后昏迷不醒转我院,血液检查:Hb85g/L,WBC22.4×100/L,N80%,L20%,BPC1000×10~9/L。出凝血时间正常。入院治疗2日后意识恢复,复查血小板仍为1215×10~9/L,胸骨骨髓检查:骨髓增生明显活跃,M:E=5.76:1,粒系增生,巨核细胞可见15个,血小板明显堆集,1周后再次复查血小板数恢复正常(160×10~9/L)。
Chlordimeform pesticides on the blood system is mainly seen in the granulocyte system, the impact of platelets rare, is reported in 1 case. Chen, female, 29 years old, due to oral administration of chlordimeform 250ml, after local blood transfusion, intravenous injection of methylene blue and other treatment 3 days unconscious unconscious to our hospital, blood tests: Hb85g / L, WBC22.4 × 100 / L, N80%, L20%, BPC1000 × 10 ~ 9 / L. Clotting time out of normal. After 2 days of admission treatment, the consciousness recovered, and the platelet reexamination was still 1215 × 10 ~ 9 / L. The sternum marrow examination showed that the myeloid hyperplasia was obviously active, the M: E was 5.76: 1, the myeloid hyperplasia and the megakaryocyte were visible, One week later, the number of platelets returned to normal again (160 × 10 ~ 9 / L).