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患儿,女,2(1/2)岁,5个月前无明显原因出现两上眼脸下垂,早上轻、下午重。先后在当地及外院未明诊断,用庆大霉素及维生素类治疗无效,于1987年5月4日来院就诊。查体:神志清,精神一般,体温正常,两上眼睑中度下垂,咽稍充血,扁桃体Ⅲ~0肥大,心、肺、腹正常,四肢活动自如,肌力正常。胸部 X 光平片未见纵膈肿瘤及胸腺肥大。新斯的明0.4毫克肌注,15分钟后眼脸下垂消失。按重症肌无力,上感予以强的松
Children, women, 2 (1/2) years old, 5 months ago, there was no obvious reason for the two eyes face drooping, morning light, heavy afternoon. In the local and outside the hospital has not yet diagnosed with gentamicin and vitamins ineffective treatment, on May 4, 1987 to the hospital. Physical examination: conscious, mental general, normal body temperature, two moderate eyelid ptosis, pharyngeal hyperemia, tonsil Ⅲ ~ 0 hypertrophy, heart, lung, abdomen normal, extremities freely, muscle strength is normal. Chest radiographs showed no mediastinal tumors and thymus hypertrophy. Neostigmine 0.4 mg intramuscularly, 15 minutes after the face sag disappears. According to myasthenia gravis, the feeling to prednisone