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1 病例报告患者男,22岁。2001年3月始自觉说话费力,四肢略感无力,症状进行性加重,并感吞咽困难,系扣、写字动作笨拙,时有牙龈出血。5月下旬以四肢无力原因待查人院。一般体检除脾略大外,余无异常发现。神经系统:行走略欠稳,言语缓慢,发音欠清,鼻音较重,时有强笑。颅神经及四肢肌力、肌张力、共济运动未发现明显异常。化验检查除血小板偏低外,其它均正常。腹部B超见肝硬化、脾大,门静脉扩张。结合神经系统表
A case report Male patient, 22 years old. March 2001 began to consciously speak hard, limbs a little weak, progressive symptoms, and sense of difficulty swallowing, buckle, writing clumsy, bleeding from time to time. In late May to limb weakness to be investigated hospital. In addition to general physical examination slightly larger than the outside, I found no abnormalities. Nervous system: walking slightly less steady, slow words, less clear pronunciation, heavier nasal, sometimes strong laugh. Cranial nerve and limb muscle strength, muscle tension, Masonic movement found no significant abnormalities. Laboratory tests in addition to low platelets, the other are normal. Abdominal B- see cirrhosis, splenomegaly, portal vein dilatation. Combine nervous system tables