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男,28岁,因四肢末端麻木感觉障碍20余天,于1989年5月16日入院。患者述于4月20日使用乙酰甲胺磷乳剂时,药液漏出至背部及双下肢,皮肤接触持续约2小时,工作后未及时淋浴换衣。当时无不适,次日感觉双上肢手指,下肢足部麻木沉重,手端碗持筷无力,伴头晕、恶心、腹痛。病情日见加重,皮肤温痛觉随之减退。体检:肌力3度,肌张力减弱,肱二、三头肌,膝反射均减弱,双手、足湿痛觉呈手套、袜套样感觉减退。治疗经过:口服阿托品0.3mg,tid维生素B_1100mg、B_(12)500μg,im,qd,静脉滴注能量合剂。29天后治愈出院。
Male, 28 years old, due to numbness of the extremities sensory disturbance for more than 20 days, was admitted on May 16, 1989. Patients reported using the acephate emulsion on April 20, the liquid leaked to the back and both lower extremities, skin contact lasted about 2 hours, did not work after the shower to change clothes. At that time no discomfort, the feeling of the upper limbs fingers the next day, lower limbs numbness, hand-held chopsticks bowl weakness, with dizziness, nausea, abdominal pain. Increasing the severity of the disease, the skin temperature pain decreased. Physical examination: 3 degrees of muscle strength, weakened muscle tone, brachial, tricep, knee reflexes were weakened, both hands, feet wet pained glove, socks, like feeling diminished. After treatment: oral atropine 0.3mg, tid vitamin B_1100mg, B_ (12) 500μg, im, qd, intravenous infusion of energy mixture. After 29 days cured.