原发性震颤系突出为肢体的位置性震颤的一组临床疾病。作者两年中遇到4例,报告如下。 例1:男,24岁。8年前系裤带时左上肢震颤,次年左下肢震颤。渐发展右侧上下肢类似震颤且强行控制不能。经服非那根、左旋多巴、奋乃静无效就诊。病人大弟患右侧肢体震颤4年,余无家族异常病史。 例2:男,46岁。20年前右手抖动、渐书写不能、曾服镇静药安定等不能控制遂出现左手震颤,近一年半双下肢偶震颤、生活难以自理。 例3:女,23岁。双手震颤10年,13岁起双手不自主地震颤、渐影响正常工作及日常生活。 例4:男,60岁,双手先后震颤21年,震颤于端碗、点烟时明显,为保证进食每餐前饮洒以改善症状。 4例初诊及入院体查:除1例肌张力稍低外,均 The primary tremor highlights a group of clinical conditions that are positional tremor in the limbs. The author encountered four cases in two years, the report is as follows. Example 1: Male, 24 years old. 8 years ago when the belt upper limb tremor with the next year, the left lower limb tremor. Gradual development of the right lower extremity similar tremor and forced control can not. Not through the service, levodopa, perphenazine invalid treatment. Patient suffering from right limb limb tremor for 4 years, I no history of abnormal family. Example 2: Male, 46 years old. Right hand shaking 20 years ago, gradually can not write, had to sedated drug stability and so can not control the left hand tremor, nearly a year and a half lower limb tremor, life is difficult to take care of themselves. Example 3: Female, 23 years old. Tremor hands for 10 years, 13-year-old involuntary hands tremor, gradually affect the normal work and daily life. Example 4: Male, 60 years old, his hands trembled for 21 years in succession, trembling in the end bowls, when the cigarette is obvious, in order to ensure that food before eating to drink sprinkle to improve symptoms. 4 cases of newly diagnosed and admitted to the hospital: except for 1 case of lower muscle tone, both