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患女,28岁,农民。以输卵管结扎术后右下肢震颤.运动障碍12d之主诉于1996年5月5日就诊。平素体健,12d前在局麻下行输卵管破扎术,因恐惧,致手术90min做完,术中曾发生短暂晕厥1次,术后腹腔及伤口无渗血。6d拆线,伤口Ⅰ期愈合。术后第2天出现右下肢颤动。本人疑为结扎损伤了“神经”,至此,愈颤愈烈,无法站立行走。在当地针灸,口服镇静剂治疗无效遂来我院。查体:T36.8C,P116次/min,R24次/min,BP16/10kPa。神志清,精神差,头颅未见异常,心肺(-)。腹平软,肝脾肋下未及,耻骨及下腹无压痛及反跳痛。右下肢震颤,闭目坐位时加重,膝腱反射亢进,肌力增强,病理反射未引出,诊断为震颤麻痹。向患者说明震颤与手术切口本身无关,也不
Female, 28 years old, farmer. The right lower extremity tremor after tubal ligation dyskinesia 12d of the chief complaint on May 5, 1996 treatment. Usually physical health, 12d before the fallopian tube under local anesthesia, due to fear, resulting in 90min done, intraoperative short-lived syncope occurred once, no postoperative abdominal and wound bleeding. 6d stitches, wound healing. On the second day after operation, the right lower extremity fibrillation appeared. I suspect that the ligation damage the “nerve”, so far, the more aggravated, unable to stand walking. In the local acupuncture, oral treatment of sedation ineffective then to our hospital. Physical examination: T36.8C, P116 times / min, R24 times / min, BP16 / 10kPa. Conscious, poor spirit, no abnormal skull, cardiopulmonary (-). Abdomen soft, liver and spleen and ribs have not yet, pubic and lower abdomen without tenderness and rebound tenderness. The right lower extremity tremor, increased eyes closed seat, knee tendon hyperreflexia, muscle strength, pathological reflex did not lead to diagnosis of paralysis paralysis. Explain to the patient Tremor has nothing to do with the surgical incision itself, nor