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不安腿综合征国内报道较少,我院曾遇到1例。病史长达37年,才被确诊,现报告如下。病例摘要患者,女,55岁,工人。18岁起晚上感两小腿酸痛,经别人捏、揉、拍才稍缓解。白天学习、行走时并无不适感。每年夏秋季发作,冬季缓解,并逐年加重,至今已发展到休息时两小腿有烧灼感,撕裂、刀割样疼痛。疲劳或发热,腹泻,月经期前后则加重。先后经实验室检验:血清IgG 16.50g/L,Hb 88g/L,EEG、CSF 无异常。曾用过阿米妥钠、氯丙嗪、谷维素、苯巴比妥、血管扩张剂等均无效,用扑尔敏反加重,但给以舒乐安定,苯妥因钠即症状改善。体检:心肺无殊,神经系统检查无异常,但有月经过多及贫血史30余年。讨论不安腿综合征的病因迄今未
Restless legs syndrome less reported in our hospital, our hospital had encountered 1 case. As long as 37 years of history, was diagnosed, are as follows. Case Summary Patient, female, 55 years old, worker. Eighteen-year-old sense of the two legs from the night sore, pinch by others, rubbing, pat only a little ease. Learning during the day, walking without discomfort. Each summer and autumn seizures, winter remission, and increased year by year, has been developed to rest when the calf has a burning sensation, tearing, knife-like pain. Fatigue or fever, diarrhea, menstrual period is increased. Has been laboratory tests: serum IgG 16.50g / L, Hb 88g / L, EEG, CSF no abnormalities. Have used amiloride sodium, chlorpromazine, oryzanol, phenobarbital, vasodilators, etc. are invalid, with chlorpheniramine anti-aggravating, but given to music and stability, phenytoin sodium that the symptoms improved. Physical examination: no cardiopulmonary, nervous system examination no abnormalities, but menorrhagia and anemia more than 30 years. The cause of restless legs syndrome has not been discussed so far