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患者男,65岁,因四肢乏力2天,于2000年12月26日10时入院。2天前患者双上肢乏力,握拳困难,不能举臂抬肩,随后出现双下肢乏力,下蹲起立困难。门诊拟“肌无力待查”收入院。起病来患者无发热、多汗、呕吐、腹泻、多尿等症状,既往无类似发作。体检:血压120/80mmHg,体温36.7℃,脉搏60次/分,呼吸20次/分,意识清楚,呼吸平稳,扶人病房,步态缓慢,体位变动困难,心、肺、腹无明显异常,四肢肌力为2—3级,双
Male patient, 65 years old, with weakness due to extremities for 2 days, was admitted at 10:00 on December 26, 2000. 2 days ago, patients with upper extremity fatigue, fist problems, can not lift his arm shoulder, followed by weakness in both lower extremities, squat upright difficulties. Outpatient simulation “muscle weakness to be investigated ” income hospital. The onset of patients without fever, sweating, vomiting, diarrhea, polyuria and other symptoms, no previous similar attacks. Physical examination: blood pressure 120 / 80mmHg, body temperature 36.7 ℃, pulse 60 beats / min, breathing 20 beats / min, clear awareness, breathing steady, helping the ward, slow gait, body position changes, heart, Limb muscle strength of 2-3, double