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病例摘要:患者,男、33岁。因头晕,乏力,嗜睡,双下肢无力二周,四肢动作不稳准,复视,神志不清,烦躁不安3天于1988年3月7日入院。患者于春节期间大最饮酒,入院的前2周出现头晕,无力,食欲不振,嗜睡,走路困难。近三天出现四肢动作不稳准,视物成双,烦躁不安,恶心,呕吐,逐渐神志不清,尿便失禁。以“非特异性脑炎”诊断收入院。既往有常年饮酒十余年,双下肢麻木一年。体格检查:神志尚清,定向力差。不能正确回答问话,烦躁不安,双侧瞳孔等大同圆,对光反应尚可,左眼外展受限,眼底正常,四肢肌力、肌张力尚可,四肢腱反射减弱,未引出病理反射,双手套、袜套样痛觉减退,四肢共济运动不稳准。双手露出部位可见皮肤发红,粗糙,有轻度脱屑。内科检查未见异常。脑脊液检查及内科各项辅助检查未见异常。头部 CT 检查
Case Summary: Patient, male, 33 years old. Due to dizziness, fatigue, lethargy, weakness of the lower extremities two weeks, limb movements are not accurate, diplopia, confusion, irritability 3 days in March 7, 1988 admission. Patients during the Spring Festival most drinking, the first 2 weeks of admission dizziness, weakness, loss of appetite, lethargy, walking difficulties. Appeared in the past three days, limb movements are not accurate, depending on the material into double, irritability, nausea, vomiting, gradually unconsciousness, urinary incontinence. To “non-specific encephalitis” diagnosis of income homes. Previously, perennial drinking more than ten years, numbness of the lower limbs for one year. Physical examination: clear mind, poor orientation. Can not correctly answer the questioning, irritability, bilateral pupils and other Datong circle, the light response is acceptable, limited left eye abduction, normal fundus, limb muscle strength, muscle tone is acceptable, limb tendon reflexes weakened, did not lead to pathological reflex , Gloves, socks, like pain hypopigmentation, limb movement disorder. Visible parts of his hands exposed red skin, rough, mild scaling. Medical examination showed no abnormalities. Cerebrospinal fluid examination and medical examination showed no abnormalities. Head CT examination