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患者男性,35岁。因左下肢活动不便7小时于1989年5月23日入院。夜间睡眠中发病,发病前无任何诱因,既往及家族中均无类似发作史。入院体检;精神可,呼吸平,血压15.2/9.3kPa,心率70次,律齐,两瞳孔直径约0.2cm,光反应(+),眼球活动正常,口角无歪斜,伸舌不偏,颈软,左下肢肌力Ⅲ级,余肢体肌力均为Ⅴ级,左下肢膝反射明显减弱,病理反射(一)。拟诊:左下肢轻瘫原因待查,格林一巴利氏综合征?给以营养神经和皮质激素等治疗,入院当天查血钾为4.95mol/L,第二天患者能下地活动,入院第
Male patient, 35 years old. 7 hours for inconvenience due to left lower extremity movement on May 23, 1989. Occurrence of sleep during the night, before the onset of any incentives, past and family history of similar attacks. Mental, respiratory, blood pressure 15.2 / 9.3kPa, heart rate 70 times, law Qi, the two pupil diameter of about 0.2cm, photoreaction (+), normal eye movements, mouth no skew, Left lower limb muscle strength Ⅲ grade, the remaining limb muscle strength are grade Ⅴ, lower limb knee reflex was significantly reduced, pathological reflexes (a). To be diagnosed: The left lower extremity causes paralysis, Green-Barre syndrome? Give nutrition and corticosteroids and other treatment, check the day of admission potassium 4.95mol / L, the next day the patient can go to activities, admission