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病历摘要患者男性,27岁,军人,河南籍,未婚。主诉四肢不能活动已12小时,于1959年3月10日入院。患者于3月9日夜12时许从熟睡中醒来,突然发现四肢不能活动,并伴有口渴、头疼、畏热、多汗等症状,但无发烧及排尿、排便障碍。发病前一日身体会着凉,并有肢体疼痛感。患者于1949年因一次行军爬山涉水极度疲劳后,当日夜肢体发生疼痛,活动受到限制,次日则恢复正常。此后于1950、1951、1956、1957、1958年均有夜是醒后、四肢突然或逐渐不能活动并伴有疼痛的发作病史,其间歇最长达四年,短者一年之内发作七次,每次发作前均有肢体疼痛、疲劳等先兆发作均系自下肢开始,渐延及上肢,持续1-7日即自行恢复。在间歇期内一切正常。患者认为受凉、疲劳是发作的诱因。
Medical record Summary Male patient, 27 years old, soldier, Henan nationality, unmarried. Complaints of limbs can not move 12 hours, March 10, 1959 admission. The patient woke up from sleeping at 12 o’clock on the night of March 9, and suddenly found his limbs unable to move. He was accompanied by symptoms of thirst, headache, fever, hyperhidrosis, but without fever and urination and defecation disorders. The day before the onset of body will catch cold, and limb pain. Patients in 1949 due to a march mountain extreme fatigue, limb pain on the day and night, activities are limited, the next day back to normal. Since then, in 1950, 1951, 1956, 1957, 1958, after having awakened for the night, the limbs were suddenly or gradually unable to move and accompanied by a history of pain episodes. The interval was up to four years and the short seizures were seven times within a year , Before each attack are limb pain, fatigue and other threatened seizures are starting from the lower limbs, gradually extending and upper limbs, sustained 1-7 days to recover on their own. In the intermittent period everything is normal. Patients feel cold, fatigue is the cause of the attack.