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例1,贾××,男25岁。主因行走困难1天,于89年10月11日第二次入院。缘于9月25日口服甲氨磷20ml,昏迷、肌颤、胆碱酯酶活力30%,门诊洗胃后首次入院。经给特效解毒剂和对症治疗,11天后痊愈出院。10月10日中午突发双手震翅样拍打两次,各持续数分钟自然缓解,并感下肢发紧、站立不稳、行走困难、手指尖麻木。检查呈跨越步态,双足下垂不能背屈,足趾无随意运动,指尖及踝以下深浅感觉迟钝,腓肠肌按压痛。在他院做肌电图,报告左胫神经MCV40.7m/s,右腓总神经MCV40.7m/s,双下肢呈神经原性肌电图表现而确诊。经治疗好转出院。
Example 1, Jia × ×, male 25 years old. The main difficulty walking for 1 day, on October 11, 1989 the second admission. Due to oral 25 25 25 25 25 25 30 25 30 25 25 25 25 25 30 35 30 35 50 55 60 65 3 methamphetamine, coma, fibrillation, and 30% of cholinesterase activity, the first admission after an outpatient gastric lavage. After giving special antidote and symptomatic treatment, he was discharged after 11 days. At 10 noon on October 10, both hands shocked the beating flapping twice, each lasting a few minutes to naturally relieve, and feeling lower extremities tightness, standing instability, difficulty walking, finger numbness. Examination showed walking across the gait, drooping feet can not dorsiflexion, no toe movement, fingers and ankle below the dull feel the gastrocnemius pressure pain. Electromyography in his hospital to do report the left tibial nerve MCV40.7m / s, the right common peroneal nerve MCV40.7m / s, both lower extremities showed neurogenic EMG performance and confirmed. After treatment improved discharged.