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患者,女,29岁,患者两年前因咳嗽、气促、颈下淋巴结肿大2月诊断为淋巴瘤。近一周未,因右眼睑下垂,眼活动受限入院。曾间断行化疗治疗。查体:心、肺、腹未见异常。神经系统所见:右眼球向上、下、内活动受限,右眼睑下垂,双瞳孔正大等圆,对光反应灵敏,余无其它神经系阳性体征。入院18天,左眼亦发生眼睑下垂,且均朝轻暮重,疲劳试验阳性,新斯的明试验阳性。
Patient, female, 29 years old, diagnosed with lymphoma in February due to cough, shortness of breath and enlarged neck lymph nodes two years ago. Nearly a week, due to the right eyelid ptosis, restricted access to the hospital. Have intermittent chemotherapy. Examination: heart, lung, abdomen no abnormalities. Nervous system see: the right eye ball up, down, limited mobility, right eyelid ptosis, double pupil Chia Tai and other round, sensitive to light, I no other positive neurological signs. Admitted to hospital for 18 days, the left eye also eyelid ptosis, and all towards the light and heavy weight, fatigue test was positive, neostigmine test positive.