笔者遇2例肌萎缩侧索弱化症状误诊为肺感染,现摘1例报告如下。 患者男,46岁,农民。入院前5年因受凉诱发咳嗽咯痰,经治疗好转,但反复发作,时伴发热,吐脓性痰及气喘。2年前先后出现两手持筷笨拙,双下肢易疲劳,近2个月有时饮水发呛。在外院多次按“慢支肺感染”治疗,咳喘症状好转,但症状逐渐加重。查体:T37.2℃,P90/min,R20/min,BP16/12kPa。两肺有少许干罗音,心音低钝。言语嘶哑,双软腭提举力弱,咽反射双侧迟钝,伸舌 I met two cases of amyotrophic lateral weakness symptoms of misdiagnosed as pulmonary infection, are pick 1 case report as follows. Male patient, 46 years old, farmer. 5 years before admission due to cold induced cough expectoration, the treatment improved, but recurrent, when accompanied by fever, spit purulent sputum and asthma. 2 years ago there have been two hand-held chopsticks clumsy, lower extremity fatigue, the past 2 months sometimes drinking choking. In the outer court many times by “chronic bronchitis infection” treatment, cough and asthma symptoms improved, but the symptoms gradually increased. Physical examination: T37.2 ℃, P90 / min, R20 / min, BP16 / 12kPa. There are a few dry rales lungs, low heart sound blunt. Speech hoarseness, weak palate lift, pharyngeal reflex bilateral dull, stretch tongue