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1病例简介患者,男,75岁,因“进行性四肢无力10d,口角歪斜3d”于2015-11-09日入院。10d前患者着凉后出现双下肢无力,尚能独立行走,于外院治疗期间,逐渐累及双上肢,且四肢无力进行性加重,表现为迈步困难,不能独立行走,上肢抬举费力,伴左上肢疼痛;3d前患者口角歪斜,治疗(具体不详)后稍缓解,患者四肢无力无明显好转,遂来本院。既往原发性高血压及冠心病10年,生活能自理。神经系
1 case description The patient, male, 75 years old, was admitted to hospital on 2015-11-11 due to “progressive limb weakness 10d, skewed skew 3d”. 10d before the patient appeared cold leg weakness, still able to walk independently, outside the hospital during the treatment, gradually involving the upper extremities, and limb weakness progressive aggravated, showing difficulty in walking, unable to walk independently, upper limbs lifting effort, with left upper limb pain; 3d patient skewed before the mouth, treatment (specific unknown) slightly relieved, patients with limb weakness no significant improvement, then came to our hospital. Previous essential hypertension and coronary heart disease 10 years, life can take care of themselves. Nervous system