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患者女性,35岁,主因进行性行动迟缓、右足挛缩变形近3年入院。患者3年前无明显诱因出现左侧肢体僵硬和持物时左手抖动,约半年后发展至右侧肢体,并出现右足挛缩、疼痛,泡于热水中可缓解,无晨轻幕重现象,无智能减退、抽搐、骨骼疼痛及吞咽困难,曾在当地医院诊断为“帕金森病”,予以“美多巴0.125每日3次”,无明显疗效,现因病情继续进展,影响日常生活而来我院进一步诊治。既往无一氧化碳中毒史,否认家族遗传病史。体查:T36.4℃,P 75/min,R 20/min,BP 130/85mmHg(1mmHg=0.133kPa),右足趾向上屈曲挛缩,神志清,言语稍缓慢,粗
Female patient, 35 years old, mainly due to delayed sexual activity, right foot contracture deformation nearly 3 years admitted. Patients with no obvious cause of left 3 years ago, left limb stiffness and holding things left shaking, about six months after the development of the right limb, and right foot contracture, pain, soak in hot water can be relieved, no morning light curtain phenomenon, no Intellectual decline, convulsions, skeletal pain and difficulty swallowing, was diagnosed in the local hospital as “Parkinson’s disease”, to “0.24 twice daily”, no significant effect, is due to the continued progress of the disease, affecting daily life Our hospital for further diagnosis and treatment. No past history of carbon monoxide poisoning, deny family history of heredity. Physical examination: T36.4 ℃, P75 / min, R20 / min, BP130 / 85mmHg (1mmHg = 0.133kPa), right toe upward flexion contracture,