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后天性阵发性舞蹈手足徐动症可由各种器质性与代谢性疾病引起。作者报告1例糖尿病因低血糖引起舞蹈手足徐动症。患者女性,45岁,长期患胰岛素依赖性糖尿病,因严重头痛、恶心及呕吐而就诊。注射盐酸氢化吗啡酮0.5毫升,1个半小时后突然昏迷,15分钟后稍清醒,但精神混乱,四肢突然出现强烈的舞蹈手足徐动、角弓反张、挤眉弄眼、四肢张力减低,但肌力无减退,下肢腱反射消失,无多汗、震颤及心动过速,其余神经系统检查正常。无应用氟哌啶醇或酚噻嗪等药物史,无神经病家族史。发作时血糖低于20mg%,静注葡萄糖后数分钟,不自主运动消失,神经系统检查正常。CT 扫描、血钙和甲状腺功能均正常。2天后又发作舞蹈手足徐动与精神混乱,
Acquired paroxysmal dance hand, foot and asymptomatic by a variety of organic and metabolic diseases caused. The authors report that 1 case of diabetes caused by hypoglycemia dance athetosis. Female, 45 years old, long-term insulin-dependent diabetes and was treated for severe headache, nausea and vomiting. Injection of 0.5 ml of hydromorphone hydrochloride, 1 and a half hours after a sudden coma, 15 minutes after a little awake, but the mental confusion, sudden strong limbs limbs Xu move, angle arch anti-Zhang, wink, limbs tension decreased, but muscle strength No decline, lower extremity tendon reflex disappeared, no sweating, tremor and tachycardia, the rest of the nervous system examination was normal. No application of haloperidol or phenothiazine and other drug history, no family history of neuropathy. Episodes of blood glucose less than 20mg%, intravenous glucose several minutes after the involuntary movement disappeared, the nervous system examination was normal. CT scan, serum calcium and thyroid function were normal. 2 days after the onset of the dance hands and feet Xu move and mental confusion,