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临床上诸多的误诊中,巧合因素所致误诊亦为其中主要原因之一。笔者所见几例,颇有特点。现报告如下: 例1:女,32岁,农民,住院号45022。患者于12天前,在庙内敬香时,看见一条大蛇而受惊吓,回家后手脚麻木,渐加重。近4天肢体不能活动,吞咽困难,流涎。查体:四肢远端触觉减退、肌张力减弱、肌力1～Ⅰ级,腱反射减弱,未引出病理反射。化验血清K~+、Na~+、Cl~-、Ca~(2+)正常。诊断:
Clinically, many misdiagnosis, misdiagnosis due to coincidence factors are also one of the main reasons. I saw a few cases, quite characteristic. Now report as follows: Example 1: Female, 32 years old, farmer, hospital number 45022. Patients in 12 days ago, when the incense in the temple, saw a snake frightened, numb hands and feet after going home, gradually heavier. Nearly 4 days can not move limbs, swallowing difficulties, salivation. Physical examination: limb distal haptic decline, muscle tone weakness, muscle strength 1 ~ Ⅰ grade, tendon reflexes, did not lead to pathological reflex. Test serum K ~ +, Na ~ +, Cl ~ -, Ca ~ (2+) normal. diagnosis: