论文部分内容阅读
病历摘要患儿,男,9岁,因两下肢无力,烦渴,多尿1天,于1981年8月27日入院.患儿于入院前1天下午忽然感到两下肢软弱无力,右下肢略重于左下肢,近端重于远端,能勉强站立,行走时步态蹒跚.走500公尺左右路,需休息4～5次.每次休息的时间都超过行走的时间,并感到行走越来越困难.不发热,无肌肉疼痛及麻木感.当晚出现烦渴,喝水量比平时约多一倍.尿多,出汗.至第二日清晨醒来,两下肢已完全不能站立。头颈软,不能竖起.两上肢活动尚可,但感无力,握力较差.说话声低而无力.起病前无饱餐、进高糖饮食,剧烈运动及感染等病史。以往身体健康,无类似发作史及家族史.
Summary of medical records Children, male, 9 years old, due to weakness of both lower extremities, polydipsia, polyuria 1 day, admitted to hospital on August 27, 1981. One day before admission, children suddenly felt both limb weakness weakness, right lower extremity slightly Heavier than the left lower extremity, the proximal end is heavier than the distal, can barely stand, walking hobbled gait. Walk about 500 meters on the road, need to rest 4 to 5. Each break more than walking time and feel walking More and more difficult.No fever, no muscle pain and numbness.Near polydipsia that night, drink more water than usual about doubled, sweating.Wake up to the next morning, the two limbs can not stand . Head and neck soft, can not be erected. Two upper extremities activity is acceptable, but the sense of weakness, grip poor. Speak low and weak. Before the onset of no meal, into the high-sugar diet, strenuous exercise and infection and other medical history. In the past, good health, no history of similar attacks and family history.