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笔者临床遇两例Shy-Drager综合征,报告如下。例1:男,55岁,1979年起出现头晕、性欲减退,后逐渐加重。次年出现阳萎、起立时跌倒。第三年始有走路不稳,双手取物不准,书写困难,说话欠流利。但无明显肌力减退。曾以脑动脉硬化症屡次住院治疗无效。发病第五年超出现尿频、淋漓不尽。继之尿失禁。经泌尿系统详细检查,仅见轻度前列腺肥大。心肺肝脾均无异常。血压卧位110/70,坐位80/50,不能直立。神经系统检查见神志清楚、口齿不灵,定向、计算力正常,无感情失禁。四肢肌张力呈齿轮样强直,肌力正常,腱反射亢进,姿位性震颤,指鼻及跟膝胫试验阳性,Babinski及Chaddock征双侧阳性。血尿粪及脑脊液检查均正常。眼底轻度动脉硬化,脑电图及CT检查未见异常。
The clinical case of two cases of Shy-Drager syndrome, the report is as follows. Example 1: Male, 55 years old, dizziness, loss of libido since 1979, then gradually increased. The following year impotence, fell from the stand. The beginning of the third year of walking instability, both hands were not allowed to take things, writing difficulties, speak less fluently. But no obvious muscle weakness. Once cerebral arteriosclerosis repeatedly hospitalized invalid. In the fifth year of the disease, the urinary frequency has been exceeded and dripping down. Followed by urinary incontinence. After a detailed examination of the urinary system, only mild prostatic hypertrophy. No abnormal heart and lung liver and spleen. Blood pressure 110/70 lying position 80/50, can not stand upright. Neurological examination, see the mind clearly, not working, orientation, calculation of normal, no incontinence. Limbs muscle tension was gear-like ankylosis, muscle strength, tendon hyperreflexia, postural tremor, nasolabial and knee shin test was positive, Babinski and Chaddock sign bilateral positive. Hematuria and cerebrospinal fluid were normal. Fundus atherosclerosis, EEG and CT examination showed no abnormalities.