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病例资料住院号:110×××,患者男性,63岁,农民。因接触杀虫剂后双上肢不自主运动20 h入住川北医学院附属医院神经内科。患者于入院前2 d,在为农作物施用杀虫剂氯氟氰菊酯(cyhalothrin)时,因喷雾器故障,导致大量杀虫剂浸润在自己身上,衣服完全浸湿,工作约3 h完毕后才清洗,感胸背部皮肤烧灼感,未重视。患者于入院前20 h,开始出现双侧上肢不自主运动,表现为从双侧肩部不自主耸动,上肢不自主扭曲伸缩无规律运动,偶有脸部肌肉不自主扭动,下肢尚能正常行走,不伴恶心呕吐,无语言混乱等精神异常。
Case information Hospital number: 110 × × ×, male patient, 63 years old, farmer. Because of exposure to insecticides after upper limb involuntary movement 20 h admitted to the Department of Neurology, Affiliated Hospital of North Sichuan Medical College. Patients dipped cyhalothrin pesticide insecticide 2 d prior to admission into the plant. Due to the failure of the sprayer, a large amount of insecticide was infiltrated onto the body and the clothes were completely wetted. After about 3 hours of operation, Cleaning, chest sensation burning sensation, not attention. Patients 20d before admission, began to appear involuntary movement of both upper extremities, manifested as involuntary movements from both sides of the shoulder, upper limb involuntary flexing telescopic involuntary movements, facial muscles involuntary involuntary writhing, lower extremity still normal Walking, not accompanied by nausea and vomiting, no language disorders and other mental disorders.