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亚急性联合变性国内有过报道,但较少见。我院曾收治1例,报告如下。男性,53岁,住院号83069。因两下肢无力行走不稳,黄昏时加重,于1984年12月12日入院。患者有多年上班时中午带饭,少吃蔬菜的历史。体温36.4℃,脉搏86次,呼吸20次,血压150/90毫米汞柱。神志清,语言流利,左眼因外伤失明,右跟底视神经乳头无水肿,肺(-),心尖区可闻及Ⅱ级收缩期吹风样杂音,肝脾未触及。右下肢肌力4级,两下肢音叉震动觉消失,右下肢位置觉减退,双手轮替动作欠佳,
Subacute combined degeneration has been reported in the country, but less common. I have admitted to hospital in 1 case, the report is as follows. Male, 53 years old, hospital number 83069. Due to two lower extremities unable to walk unstable, worse at dusk, in December 12, 1984 admission. Patients have many years of work at noon with meals, eat less vegetables history. Body temperature 36.4 ℃, pulse 86 times, breathing 20 times, blood pressure 150/90 mm Hg. Consciousness, fluent language, the left eye due to traumatic blindness, right and bottom optic nerve head no edema, lung (-), apical area can be heard and Ⅱ grade systolic hair-like murmurs, liver and spleen not touched. Right lower extremity muscle strength 4, two lower limb tuning fork vibration feel disappeared, right lower extremity position feel diminished, poor hands rotation,