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Meige氏病临床罕见,我们遇见2例报道如下。例1、男,33岁。主因不自主的挤眼、噘嘴缩唇、吐字不清一个月,于1989年7月就诊。于一个月前精神刺激后,出现不自主的频频挤眼。当时以为与生气有关,未介意。数日后又出现噘嘴、缩唇不自主动作,言语不清,进食不利,面部肌肉疲劳感,精神极度痛苦。上述症状在情绪激动时加重。安静时减轻,睡眠时消失。病情呈进展性,病后无发热、头痛、肢体震颤。当地医院按“脑血管病”通脉治疗无效。既往无面神经麻痹、精神病、癫痫史。检查:发育正常。体温、血压、甲状腺、心肺、肝脾等内科查体均正常。精神正常。有时舌、唇音不清,而主动重复语言。局部体征:眼轮匝肌痉挛收缩,口周肌、舌肌不规则收缩,表现
Meige’s disease is clinically rare, we met two cases reported below. Example 1, male, 33 years old. The main reason involuntary winking, pouting lips, unclear articulation a month, in July 1989 treatment. Mental stimulation in a month ago, involuntary vandalism. Was thought to be angry with, did not mind. A few days later appeared pouting, lip contraction involuntary movements, speech is not clear, eating negative, facial muscle fatigue, extreme pain. The symptoms aggravated when emotionally agitated. Relieved when quiet, disappear while sleeping. Progressive disease, no fever after the illness, headache, limb tremor. Local hospital according to “cerebrovascular disease” Tongmai treatment is invalid. No previous facial paralysis, psychosis, history of epilepsy. Check: normal development. Body temperature, blood pressure, thyroid, heart and lung, liver and spleen and other physical examination were normal. Normal spirit. Sometimes tongue, unclear lip, and take the initiative to repeat the language. Local signs: orbicularis muscle spasm contraction, perioral muscle, tongue muscle irregular contraction, the performance