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何某,女,46岁,主诉反复双下肢无力1年,头晕,吞嚥困难10天。患者近数年来视力渐减。1984年3月2日晨起感头晕、恶心。隔日全身无力,左下肢发凉。6天后感双下肢麻木无力,齐腰水平紧缩感,二便潴留。它院查双视力均为0.1,双下肢肌张力增高,肌力Ⅱ~0,T_3以下感觉消失,双侧腱反射亢进,锥体束征(+),ECG示心肌劳损,偶见室性早搏。用激素等治疗二月后,可下床活动,二便能自理。查双下肢肌力Ⅳ~0,左侧锥体束征(+),出院,三天后病情复发,再住院治疗半月好转。85年元月24日停止治疗,2月5日感眩晕
Hemou, female, 46 years old, complained of repeated weakness in both lower extremities 1 year, dizziness, difficulty swallowing 10 days. The patient’s vision has diminished in recent years. March 2, 1984 morning dizziness, nausea. Every other day weakness, left lower extremity cold. Feeling numbness of lower extremity after 6 days, waist-level tightening feeling, second retention. It check the dual vision of both hospital 0.1, lower extremity muscle tension increased, muscle strength Ⅱ ~ 0, T_3 the following feeling disappeared, bilateral tendon hyperreflexia, pyramidal tract signs (+), ECG showed myocardial strain, and occasionally ventricular premature beats . After treatment with hormones in February, you can get out of bed activities, two will be able to take care of themselves. Check the lower extremity muscle strength Ⅳ ~ 0, left pyramidal tract signs (+), discharged, three days after the recurrence of disease, and then hospitalized for a half months to improve. January 24, 1985 to stop treatment, February 5 dizziness