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目的:提高临床对肌源性咽喉麻痹的诊治水平。方法:通过临床和肌电图、血清激酶、肌肉活检等辅助检查,确诊3例肌源性咽喉麻痹患者。其临床特征是:吞咽困难、发音无力、肌电图呈肌源性改变、CPK升高等;应用大剂量糖皮质激素治疗有明显效果。结果:3例经及时用激素治疗,1例治愈,2例控制了症状。结论:肌源性咽喉麻痹应注意同神经源性咽喉麻痹相鉴别,并注意糖皮质激素的用法,防止“反跳”现象发生。
Objective: To improve clinical diagnosis and treatment of myogenic throat paralysis. Methods: Three patients with myogenic throat paralysis were diagnosed through clinical and electromyography, serum kinases and muscle biopsy. Its clinical features are: dysphagia, weak speech, myogenic changes in EMG, elevated CPK, etc .; the application of high-dose glucocorticoid therapy has a significant effect. Results: Three cases were treated with hormone in time, one case was cured and two cases controlled the symptoms. Conclusion: Myogenic throat paralysis should be noted with the identification of neurogenic pharyngolaryngology, and pay attention to the use of glucocorticoids to prevent “rebound” phenomenon.