论文部分内容阅读
2006年6月我科收治了一例“肌萎缩侧索硬化症”的患者。该患者以延髓麻痹为首发症状,这在临床上比较少见。经过一系列检查明确诊断,给予 B族维生素、胞二磷胆碱等治疗后症状缓解出院。患者出院后因突发呼吸衰竭死亡。现将对本例患者的诊断、治疗体会交流如下。病例介绍患者,女性,67岁,主因口齿不清、声音低沉2月余伴舌肌萎缩、舌肌纤颤,于2006年6月来我院就诊。病程进展加重,无头痛、头晕,无明显吞咽困难及饮水呛咳,无明显四肢活动障碍,无肢体麻木感及肌肉跳动感,无强哭强笑,无大小便失禁。近半年来有体重下降。发病前半年有持续咳嗽数月,考虑炎症经治疗好转。原有高血压病,有面肌痉
June 2006, our department admitted a case of “amyotrophic lateral sclerosis” in patients. The patient with bulbar palsy as the first symptom, which is relatively rare in clinical. After a series of tests to confirm the diagnosis, give B vitamins, citicoline and other symptoms relieved after discharge. Patients died of sudden respiratory failure after discharge. Now this case of patients with diagnosis, treatment experience exchange is as follows. Case description The patient, female, 67 years old, the main cause of speechless, low voice more than 2 months with degeneration of the tongue muscle, lingual fibrillation, in June 2006 to our hospital. No further headache, dizziness, no difficulty in swallowing and cough in drinking water. No obvious movement disorder of the limbs, no numbness of the limbs and a feeling of muscle beating. No strong cry, strong laughter, no incontinence. Weight loss in the past six months. The first half of the onset of sustained cough for several months, consider the improvement of inflammation after treatment. The original hypertensive disease, there is facial muscle spasm