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病例患者,女性,58岁,因“视物成双,进行性四肢无力8天”于2004年12月16日由外院转入。患者2004年12月9日晚上无明显诱因下出现全身乏力,当时无头痛、头晕、恶心、呕吐等。10日晨,出现视物成双、模糊,双眼睑下垂,眼球活动不灵活。感头晕,闭目后头晕稍好转。站立不稳,行走有踩棉花样感觉。11日出现言语不清,上肢无力,可在搀扶下行走。至13日,症状明显加重,眼睑下垂明显,双眼球完全不能活动,吞咽困难,饮水呛咳,头下垂,上肢不能抬起。头颅 MRI 检查,未见明显异常。神经传导速度检查示“周围神经损害”。予丹参、阿司匹林等
Case patient, female, 58 years old, due to “double as the material, progressive limb weakness 8 days ” on December 16, 2004 from the outer court transferred. Patients December 22, 2004 no obvious incentive at night under generalized fatigue, there was no headache, dizziness, nausea, vomiting and so on. On the morning of the 10th, the appearance of double vision, blurred, double eyelid ptosis, eye movement inflexible. Feeling dizzy, closed eyes slightly dizzy improved. Stable, walking on a cotton-like feel. Appear on the 11th unclear speech, upper limb weakness, can walk in the arm. To the 13th, the symptoms were significantly worse, obvious ptosis, eyes completely unable to move, difficulty swallowing, coughing, head drooping, upper limbs can not lift. Head MRI examination, no obvious abnormalities. Nerve conduction velocity examination showed “peripheral nerve damage”. Salvia, aspirin and so on