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患女,47岁,于1993年4月8日以四肢活动障碍12h入院。3d前自觉受凉腰腿疼痛,曾服抗风湿药无效,且四肢无力、活动障碍以下肢为著。门诊以周期性麻痹收住。既往无类似发作史及服棉子油史。查体:T36.5℃,P86次/min,R20次/min,BP12/9kPa。发育正常,营养良好。神志清,精神差。查体欠合作。扁桃体不大,颈软,两肺(-)。心界无扩大,心率86次/min,律齐,心音低钝,无杂音,A_2=P_2。腹平软,肝脾不大,肠鸣
The female patient, 47 years old, was admitted to the hospital on April 8, 1993 with an obstacle to limb movement for 12 hours. Consciously cold pain before the waist and legs 3d, had served anti-rheumatic drugs ineffective, and limb weakness, mobility disorders to the lower limbs. Outpatient reception with periodic paralysis. No previous history of similar seizures and service cottonseed oil history. Physical examination: T36.5 ℃, P86 times / min, R20 times / min, BP12 / 9kPa. Normal development, good nutrition. Conscious, poor spirit. Physical examination owed cooperation. Tonsils are not large, soft neck, both lungs (-). Heart without expansion, heart rate 86 beats / min, law Qi, heart sound low blunt, no noise, A_2 = P_2. Abdomen soft, small spleen, bowel