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掌颏反射的临床应用及其实际意义,报载甚少。实用内科学中记叙,侧索硬化症患者可出现阳性,诊断学中讲述假性球麻痹者掌颏反射增强。本人自198日年以来观察了乙型脑炎、散发性脑炎、腮腺炎并发脑炎以及麻疹并发脑炎患者218例,其中约有1/3患者出现掌颏反射阳性。此体征可与巴氏征同时存在,也有在其他体征前后出现,特别是有一部分患者只有掌颏反射阳性,脑脊液检杏细胞数增高,泮台氏阳性,糖及氯化物正常。且培养或涂片无霉菌、隐球菌等细菌感染依据,同期住院其他患者没有出现掌颏反射体征。所以临床上凡有怀疑乙脑或其他脑炎患者.我们则常规检查掌颏反射,这对于提高诊断率,减少误
Clinical application of palm chin reflex and its practical significance, reported little. Practical internal medicine in the narrative, lateral sclerosis patients may appear positive, diagnosis of pseudobulbar paralysis about the palm chin reflex enhancement. I have observed 218 patients with Japanese encephalitis, sporadic encephalitis, mumps complicated with encephalitis and measles complicated with encephalitis since 198, of which about 1/3 of the patients have positive palmar reflexes. This sign may exist with the Papanicardary sign, but also before and after other signs appear, especially in some patients only palma reflex positive, elevated cerebrospinal fluid count apricot, Pan Tai positive, sugar and chloride normal. And cultured or smear-free mold, cryptococcosis and other bacterial infections based on the same period other hospitalized patients did not appear palm chin reflex signs. Therefore, clinical suspicion of patients with JE or other encephalitis, we routinely check the palm chin reflex, which is to improve the diagnostic rate and reduce errors