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1临床资料患者女,47岁,因“双下肢无力,走路不稳1周,加重伴说话笨拙、发音不清、吞咽困难、饮水呛咳3天”于2012-05-16入院。患者于2012-05-08无明显原因出现走路不稳,易向后摔倒,左下肢明显,且病情逐渐加重;三天后发展至需要搀扶才可以行走,呈醉酒样并出现说话笨拙伴发音不清,吞咽困难伴饮水呛咳,曾不停的反复洗手;一天前出现双上肢持物不稳,并述视物不清,但能自行找到门,不熟悉的人能立刻叫出姓名,能准确接物。睡眠、饮食欠
1 Clinical data Female, 47 years old, because of “weakness in both lower extremities, walking unsteady for 1 week, aggravated with awkward speech, dysphagia, difficulty swallowing, drinking cough 3 days ” in 2012-05-16 admission. Patients with no obvious reason to walk in 2012-05-08 instability, easy to fall backwards, the left lower extremity was obvious, and the condition gradually aggravate; three days after the development of the need to help to walk, was drunk and speak clumsy with pronunciation Clear, swallowing difficulties with drinking water cough, had repeatedly wash their hands; a day ago appeared double upper limb holding instability, and sights on things unclear, but can find their own doors, people who are not familiar with can immediately name, accurate Then things. Sleep, food owes