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患者:刘某某、女,26岁,因反复眼睑下垂,四肢无力5年,加重伴咳嗽,吐痰、发烧3天于85年元月28日入院。上述症状在劳动、感冒、月经期加重。曾在他院诊断为“重症肌无力”,服用新斯的明效果较好。有青、链霉素过敏史。检查:T37.9℃、R21次/分,P86次/分,BP110/70mmHg, 咽部充血明显、心肺(-),眼裂稍小、眼球活动自如,四肢肌力,肌张力基本正常。WBC、胸部摄片均正常。给予新斯的明15mg,一日三次。红霉素1.25g静滴、约90分钟后出现肌无力症状加重:眼睑下垂,轻度呼吸困难,咳嗽无力,四肢肌力Ⅲ～Ⅳ°,肌张力低,腱反射迟钝。立即停止输入,未给予处理,约1小时后症状逐渐好转。次日,再次静滴红霉素1.25g,约1小时后出现肌无力危象:呼吸困
Patients: Liu Moumou, female, 26 years old, due to repeated ptosis, limb weakness for 5 years, increased with cough, spit, fever 3 days on January 28, 85 were admitted. The symptoms of labor, cold, menstrual period increased. Had diagnosed in his hospital as “myasthenia gravis,” taking neostigmine is better. Green, streptomycin allergy history. Examination: T37.9 ℃, R21 beats / min, P86 beats / min, BP110 / 70mmHg, pharyngeal hyperemia, cardiopulmonary (-), smaller cleft eyes, eye movements freely, limb muscle strength, muscle tone were normal. WBC, chest radiography are normal. Give Neostigmine 15mg three times a day. Erythromycin 1.25g intravenous infusion, about 90 minutes after the onset of aggravating symptoms aggravated: eyelid ptosis, mild dyspnea, cough, weakness, limb muscle strength Ⅲ ~ Ⅳ °, low muscle tension, tendon reflex slow. Immediately stop typing, did not give treatment, about 1 hour after the symptoms gradually improved. The next day, intravenous infusion of erythromycin 1.25g, about 1 hour later, myasthenic crisis: breathing difficulties