论文部分内容阅读
例1 钟某,男,5岁。因双眼睑下垂50天,左眼球活动障碍20天入院。既往健康,有重症肌无力家族史。入院体查:一般情况好,心肺正常,腹部无特殊。神经系统检查:神智清醒,双眼睑下垂,右眼球呈水平性震颤,左眼球固定于中线,不能向各方向运动,其余颅神经及神经系统的其他检查均无异常。新斯的明试验阳性,头颅及胸部X线照片未见异常,lgG23.9g/L,lgA0.5g/L,lgM1.5g/L,CPK 106.6nmol/s,头颅CT正常。诊断为眼肌型重症肌无力。给予吡啶斯的明30mg,新斯的明5mg,口服,每天三次。二周后上述症状消失,眼震消失,眼球活动改善。
Example 1 Zhongmou, male, 5 years old. 50 days due to double eyelid ptosis, left eyeball movement disorder 20 days admitted. Past health, myasthenia gravis family history. Admission physical examination: the general situation is good, normal lung and heart, abdomen no special. Nervous system examination: sober, double eyelid ptosis, the right eye is horizontal tremor, the left eye fixed in the midline, can not move in all directions, the rest of the cranial nerves and other nervous system tests were normal. Neostigmine test positive, skull and chest X-ray showed no abnormalities, lgG23.9g / L, lgA0.5g / L, lgM1.5g / L, CPK 106.6nmol / s, head CT normal. Diagnosis of ocular myasthenia gravis. Give pyridostigmine 30mg, neostigmine 5mg, orally, three times a day. After two weeks the above symptoms disappeared, nystagmus disappeared, eye movements improved.