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男,50岁。上腹部隐痛不适,时伴呕吐两月余。胃镜诊断:慢性表浅性胃炎。对症治疗,口服甲氧氯普胺10mg,日三次,于服药一周后,自觉轻度张口困难和下颌关节酸困感,言语不清和少量涎流等。检查无异常发现。将药物改为饭后服,症状有所减轻。用药三个月后,出现张口和咀嚼食物受限,舌体活动受限,语言不清加重,流涎不止,眼神呆滞,并进行性加重,肢体运动无碍,但无法维持正常生活和工作。多家医疗单位均按
Male, 50 years old. Pain and discomfort on the abdomen, when accompanied by vomiting more than two months. Gastroscopy diagnosis: chronic superficial gastritis. Symptomatic treatment, oral metoclopramide 10mg, three times a day, taking a week after consciously mild mouth pain and difficulty feeling of jaw joint acid, vomiting and a small amount of salivary flow and so on. No abnormalities found. The medicine changed to after-meal service, symptoms have eased. Three months after treatment, there are limited mouth opening and chewing food, tongue activity is limited, the language is not clear, salivating, sluggish eyes, and progressive aggravating limb movement without impeding, but unable to maintain normal life and work. Many medical units are pressed