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例一:男、28岁。三月前因一氧化碳中毒昏迷三天,经治疗后清醒,一般情况可。三月后逐渐出现表情呆滞、双手震颤,情绪激动时加重,休息时减轻,睡眠时消失。检查:BP130/70,P80次,神清,双侧瞳孔等圆,直径0.25cm,眼球活动好,无眼震,两侧鼻唇沟对称,伸舌居中,舌肌无萎缩及震颤,咽反射好。讲话口齿清、面部表情少,呈面具脸,双手不自主震颤,四肢肌张力增高,齿轮强直。四肢肌力V°。腱反射活跃。行走为小步态,头与躯干前倾、共济运动正常,病理征未引出。 诊断:帕金森氏综合征
Example 1: Male, 28 years old. Three months ago because of carbon monoxide poisoning coma for three days, after treatment, awake, the general situation may be. Gradually appeared in March sluggish, hands tremor, increased agitation, rest, relieve, disappear when sleeping. Check: BP130 / 70, P80, Shen Qing, bilateral pupil circle, diameter 0.25cm, eye activity is good, no nystagmus, both sides of the nasolabial fold symmetry, middle tongue, tongue atrophy and tremor, gag reflex it is good. Speech mouth clean, facial expressions less, was a mask face, involuntary hands trembling, limb muscle tension increased, gear straight. Limb muscle strength V °. Tendon reflex active. Walking for a small gait, head and torso, joint movement normal, pathological levy did not lead. Diagnosis: Parkinson’s disease