【摘要】：正例1.患者,男,72歲。因進(jìn)行性雙上肢無力3年余于2015年5月4日入院。患者3年余前無明顯誘因出現(xiàn)雙上肢無力,自述提重物或抬臂時費力,但一般持筷、拿碗及書寫等日�；顒泳皇苡绊�,行走自如。1年余前雙上肢無力加重,梳頭及穿衣亦明顯受限,伴有雙上肢肌肉萎縮及肉跳感,于當(dāng)?shù)蒯t(yī)院骨科就診,按頸椎病給予康復(fù)治療及口服甲鈷胺、塞來昔布膠囊等,癥狀無好轉(zhuǎn)。近半年來漸出現(xiàn)雙手持物笨拙,書寫困難,
[Abstract]:Example 1. The patient, male, was 72 years old. Admitted to hospital on May 4, 2015 because of progressive upper limb weakness for more than 3 years. The patient had no obvious inducement to develop double upper limb weakness more than 3 years ago. He had difficulty in lifting heavy objects or lifting his arm. However, his daily activities, such as holding chopsticks, holding bowls and writing, were not affected, and he walked freely. More than a year ago, the weakness of both upper limbs was aggravated. Combing and dressing were also obviously restricted, accompanied by muscle atrophy of both upper limbs and muscle jumping. The patients were treated in orthopedic department of local hospital. Rehabilitation treatment and oral administration of mecobalamin and celecoxib capsule were given according to cervical spondylopathy, and the symptoms were not improved. In the past half a year, there have been clumsy hands and difficult writing.
【作者單位】： 惠州市第一人民醫(yī)院神經(jīng)內(nèi)科;
【分類號】：R746

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