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男患,52岁,工人,1986年2月起出现双上睑下垂,连续咀嚼无力,多说话后呐吃,头向前倾向下坠,常须用手托扶,劳动后四肢无力,以致不能上班工作.上述症状呈波动性,早晨轻,午后重.4月初门诊检查,新斯的明试验阳性,X 线胸部摄片见双肺及胸腺均无异常,诊为重症肌无力,给予口服吡啶斯的明60mg,每6小时一次,症状缓解.6月自觉胃区不适,钡餐胃肠透视无异常发现,对症处理.1987年4月27日因运动障碍症状加重及胃区
Male, 52 years old, worker, double ptosis since February 1986, continuous chewing weakness, after speaking na, eat, head tend to fall, often have to use hand care, limb weakness after work, can not go to work Work.The above symptoms were fluctuating, light morning, heavy afternoon .In early April out-patient examination, positive neostigmine test, chest X-ray showed no abnormal lung and thymus, diagnosed with myasthenia gravis, given oral pyridos Of the clear 60mg, every 6 hours once the symptom? My conscious gastric discomfort in June, barium meal gastrointestinal see no abnormalities, symptomatic treatment. April 27, 1987 due to symptoms of movement disorders and stomach area