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多系统萎缩症临床上较少见,本文报告3例不同类型的多系统萎缩症。例1,男,52岁,1986年6月10日入院。患者于1979年始有阳萎,并进行性加重,1982年出现头晕、眼花、无力。1983年后在直立及行走时频繁晕厥发作,渐双下肢僵硬,走路不稳,易跌倒及说活不清。1985年后间断出现尿频、尿失禁,以睡眠时明显,偶有腹泻或大便失禁,无家族遗传史。检查:卧位血压17.3/12kPa,直立血压10.7/6.7kPa,意识清、表情呆板,反应迟钝,说话欠流利,吐字不清.深浅感觉正常,肌力正常,肌张力增高,腱反射增强,行走时步距宽、前冲及蹒跚步态,Romberg 征(+),双侧病理征
Multiple system atrophy is clinically rare, this article reports three different types of multiple system atrophy. Example 1, male, 52 years old, admitted to hospital on June 10, 1986. Patients began impotence in 1979 and progressive increase in 1982, dizziness, vertigo, weakness. Frequent seizures during upright and walking episodes after 1983, gradually stiffening both legs, walking instability, easy to fall and say unclear. After 1985 intermittent frequent urination, urinary incontinence, significant sleep, occasional diarrhea or fecal incontinence, no family history. Check: lying blood pressure 17.3 / 12kPa, standing blood pressure 10.7 / 6.7kPa, clear consciousness, facial expression dull, unresponsive, speak less fluent, articulation unclear .Shallow and normal feeling, muscle strength, increased tendon reflexes, walking enhanced Time-step wide, forward and stagger gait, Romberg sign (+), bilateral pathological signs