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患者,女,22岁。1977年9月19日下午5时许,服敌敌畏20毫升左右,当时经邻近某市立医院急诊室三天两夜的积极抢救,该患得救出院。出院后,自感头痛、头晕、周身乏力不能起床活动。3天后感觉两小腿肌肉疼痛,一周后渐感两足软瘫无力,行走困难。于10月16日前来就诊。检查所见:除双侧霍夫曼氏征弱阳性、两腿腓肠肌压痛、跟腱反射减弱外无其他阳性体征。以后自感双手亦渐渐无力,活动不灵,尤以拇指为重,不能持物,不能拿筷子、碗,于12月23日二次就诊。
Patient, female, 22 years old. At 19 o’clock on September 19, 1977 at about 5 o’clock in the afternoon, served 20 milliliter of dichlorvos, then the emergency rescue room near a municipal hospital three days and nights of active rescue, the patient was rescued. After discharge from the headache, dizziness, whole body fatigue can not get up. Feeling after two days of two leg muscle pain, a week later gradually feel bipolar weakness, difficulty walking. Come to see doctor on October 16. Check to see: In addition to bilateral Hoffman’s sign weak positive, legs gastrocnemius tenderness, Achilles tendon reflexes and no other positive signs. After the sense of self also gradually weakness, activity is not working, especially thumbs, can not hold things, can not take chopsticks, bowls, on December 23 the second visit.