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我院遇见2例因长期大量饮酒后并发亚急性联合变性,现报告如下。例1,男,59岁。于1985年3月23日因畏冷发热10天,X线摄片示右下肺炎征象而入院。患者既往有40年饮酒史。入院前16年双足趾麻木,并逐渐向上延至膝关节,两下肢无力,步行不稳,如踩棉花状。体检:T39℃,BP 170/110mmHg。右下肺有湿罗音,两膝关节以下痛觉略差,双下肢关节位置觉、音叉震颤觉消失,肌张力增高,膝反射增强,昂伯氏征(+),
I met two cases of hospital due to long-term heavy drinking and subacute combined degeneration, are as follows. Example 1, male, 59 years old. On March 23, 1985 due to chills and fever for 10 days, X-ray showed signs of right lower pneumonia and admission. The patient had a 40-year history of alcohol consumption. 16 years before admission, double toe numbness, and gradually extended upward to the knee, both lower extremities weak, unstable walking, such as cotton-like shape. Physical examination: T39 ° C, BP 170 / 110mmHg. Right lower lungs have wet rales, two knees below the pain slightly worse, both lower extremity joint position feel, tuning fork tremor disappeared, increased muscle tone, knee reflex, Ambert sign (+),