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患者女.24岁,主因四肢无力2个月.吞咽.呼吸困难10天入院.患者於2个月前,无明显诱因出现持续性四肢无力,伴麻木和肌肉酸痛.10天前出现吞咽及呼吸困难.咳嗽无力,周身红肿.以面颈及双上肢肿胀明显.但无头痛、恶心、呕吐等、曾在当地用药治疗(经过不详),肿胀消退,但仍觉无力,活动困难,考虑“延髓型重症(?)无力”转来我院.既往健康.查体:T37.4℃,(?)104次/分,R20次/分.BP14/8kPa.发育正常.营养中等,被动仰卧位.神志清楚,精
The patient, aged 24, was mainly experiencing weakness in her extremities for 2 months. Swallowing. Dyspnea was admitted to hospital for 10 days. Persistent onset of limb weakness accompanied by numbness and muscle soreness was evident in 2 months prior to onset. Swallowing and respiration occurred 10 days earlier Difficult to cough, weakness, swelling of the whole body to face and neck and upper extremity swelling obvious, but no headache, nausea, vomiting, had local drug treatment (unknown) swelling disappear, but still feel weak, activity difficult, consider the medulla oblongata Type of severe (?) Weakness "to our hospital .Previous health .Check the body: T37.4 ℃, (?) 104 beats / min, R20 beats / min.BP14 / 8kPa.Development normal .Nutrient medium, passive supine position. Conscious, refined