单纯累及延髓肌的重症肌无力１例误诊报告熊昆华方仁秀吕如锋１病历报告患者侯某，男，６２岁，入院前４８天无明显诱因出现声音嘶哑、说话困难、吞咽不能、流涎、呛咳、咳嗽无力并且逐渐加重。无复视、眼睑下垂、四肢无力等症状，亦无头昏、头痛、咽痛、发烧等。曾在当地... A simple report of misdiagnosis of myasthenia gravis involving the bulbar musculature Xiong Kunhua Fang Renxiu Lv Rufeng 1 Medical records Patient Houmou, male, 62 years old, 48 days before admission No obvious incentive to appear hoarseness, speech difficulties, swallowing, drooling, coughing, coughing Powerless and aggravating. No diplopia, ptosis, weakness and other symptoms, nor dizziness, headache, sore throat, fever and so on. Once in the local ...