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病例资料病史住院号:91010×××。女性,70岁。主诉:进行性四肢无力5个月余。于2015年8月1日收入复旦大学附属华山医院(我院)神经内科。现病史2015年1月患者因高脂血症服用辛伐他汀10 mg·d~(-1),1个月后自觉四肢无力感,日常生活不受影响,遵医嘱停用辛伐他汀。2015年3月患者开始出现明显四肢无力,近端为主,表现为上肢抬举费力,下肢行走无力感。肌无力症状进行性加重,至2015年4
Case history Hospital number: 91010 ×××. Female, 70 years old. Chief Complaint: progressive limb weakness for more than 5 months. August 1, 2015 income Fushan University Affiliated Huashan Hospital (Hospital) Department of Neurology. Current history In January 2015, patients taking simvastatin 10 mg · d -1 due to hyperlipidemia, one month later, they felt weakness in their limbs and their daily life was not affected. Simvastatin was stopped according to the doctor’s advice. In March 2015, the patient developed obvious weakness in the limbs, and the proximal part was predominant. The patients showed difficulty in lifting their upper limbs and feeling weak in walking. Myasthenia gravis symptoms worsen until 2015 4