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例1 黎某,女,21岁,农民。服敌百虫79粒(每粒0．3g)约23．7g后,头昏,烦躁,恶心,神志恍惚,送至某市二医院时,已呈昏迷状。经洗胃,注射阿托品、解磷定等抢救,7小时后神志清醒。18天后感双下肢远端疼痛,发胀,乏力,次日双上肢也胀痛,乏力,并逐渐由远端向近端发展,2~3天后四肢不能活动。以后逐渐出现双下肢腓肠肌、胫前肌萎缩,足下垂,肌张力低,跟腱反射消失,肌力o~0。双上肢蚓状肌、骨间肌、大,小鱼际肌明显萎缩,手掌变平,腕下垂,肌力I~0,上肢肘关节,下肢膝关节以下对称性手套袜套型感觉障碍,皮肤发凉,粗糙,无汗。经激素、烟酸,大
Example 1 Li Mou, female, 21 years old, farmer. Served trichlorfon 79 (0.3g each) about 23.7g, dizziness, irritability, nausea, trance, sent to a hospital in the city, has been coma. After gastric lavage, injection of atropine, such as phosphate solution set rescue, 7 hours after conscious. After 18 days, the lower extremities were affected by distal pain, swollen and weak. The upper extremities also had pain and weakness on the next day. They gradually developed from distal to proximal and could not move their limbs after 2 to 3 days. Afterwards, gastrocnemius and anterior tibial muscle of lower extremities gradually appeared, with droop, low dystonia and disappearance of Achilles tendon reflex. Upper extremity lupus, interosseous muscle, large and small intertidal muscle conspicuously atrophied, palms flattened, wrist drooping, muscle strength I ~ 0, upper extremity elbow, lower extremity knees below symmetry glove Socks type sensory disturbance, skin Cool, rough, no sweat. Hormones, niacin, large