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报告82例甲胺磷迟发多发性神经病1～10年的跟踪观察结果。按临床表现分三型:纯运动型36.6%;感觉运动混合型61%;格林-巴利综合征型2.4%。本病康复过程:感觉障碍2～3个月内消失;植物神经功能紊乱3～6个月内康复;肌力减退和肌萎缩6～24个月内完全康复;生活自理和—般劳动能力4～18个月内重新获得;神经传导速度(NCV)半年后和肌电图(EMG)2～3年后恢复正常;脊髓上单位体征占8.7%,2～10年后仍未愈。我们认为本病远期预后良好,并提出本病的临床分型及三条分型标准。
Report 82 cases of methamidophos delayed polyneuropathy 1 to 10 years follow-up observation. According to the clinical manifestations of three types: pure sports 36.6%; sensory exercise mixed type 61%; Guillain-Barre syndrome 2.4%. The disease recovery process: sensory disturbances disappear within 2 to 3 months; autonomic dysfunction within 3 to 6 months of rehabilitation; muscle weakness and muscle atrophy 6 to 24 months complete recovery; self-care and general ability to work 4 ~ 18 months; nerve conduction velocity (NCV) after six months and electromyography (EMG) 2 to 3 years after the return of normal; spinal cord on the unit sign accounted for 8.7%, 2 to 10 years after healed. We believe that the long-term prognosis of this disease is good, and put forward the clinical classification of the disease and three sub-type criteria.