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肌无力

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Its characteristic manifestation is myasthenia of limited distal of limb,finger and wrist accompanied with distal amyotrophy,cold rigor and fasciculation when finger extending.The manifastation of electromyogram is harmfulness derived from nerver.

本病青春期发病,特征性表现为:局限性上肢远端、手指及腕无力,伴远端肌肉萎缩、寒冷麻痹和手指伸展时束颤,肌电图表现为神经源性损害。

Methods Amyotrophy, somatasthenia, fasciculation, dysarthria and acataposis were the major clinical symptom of MND patients. The conclusion suggested that MND must be treated mainly by reinforcing the kidney and invigorating the spleen and invigorating spleen to replenish qi, removing blood stasis dredge collaterals as adjunctive therapy.

结果运动神经元疾病临床以肌肉萎缩、肢体无力、肌束震颤、构音困难、吞咽困难为主要表现,治疗时应以健脾补肾、补中益气为主,加用活血通络之品。

Or doughy, like the proximal muscles in dermatomyositis?

或柔软无力,象皮肌炎的近心端肌肉?

Crying small, some may be congenital muscular flaccid, a serious debilitating illness can not afford, or with the vagus, glossopharyngeal nerve palsy and so on.

哭声细小者,有可能是先天性肌弛缓,病情严重衰弱无力,或与迷走、舌咽神经麻痹等有关。

Myotonic dystrophy is usually obvious on clinical grounds with grip myotonia, distal weakness and wasting and the characteristic facial appearance, and was not considered likely here.

在临床见到的明显的营养不良性肌强直常表现为紧握的肌强直,远端无力和萎缩,以及特征性面容。因而在这位患者并不考虑本病。

Cervical spondylosis is due to cervical back muscle strain as well as the unbalanced paravertebral muscle strength caused by long-term working with head drop, which thereby leads to a set of syndrome: cervical intervertebral disc degeneration, narrow intervertebral space, unstable vertebrae unit, protruded or extruded nucleus pulpous; hyperosteogeny, ligament pachynsis, narrow neural canal or nerve root canal; oppressed nerve root and spinal cord, stimulated vertebral artery and sympathetic nerve; aching and discomfort cervix; numbness and disability of the body; functional disorder in relieving the bowels; dizziness and nausea, etc.

颈椎病的原理及颈椎功能锻炼的原理 Theory of Cervical Spondylosis and Cervical Vertebrae Dirigation 颈椎病是由于长期低头工作等原因所导致的项背肌劳损、颈椎周围肌群肌力不平衡,从而使颈椎间盘退变、椎间隙狭窄、椎节失稳、髓核脱出或突出、骨质增生、韧带肥厚,使椎管或神经根管狭窄,压迫脊髓、神经根、刺激椎动脉及交感神经,出现颈部酸痛不适、躯体麻木无力、大小便功能障碍、头晕恶心等症状的一组综合症。

The functional recovery in her right upper limb was good. Segmental zoster paresis is underdiagnosed in patients with segmental weakness. Needle electromyography is a good tool for assisting diagnosis and prognosis and for following up motor recovery.

疱疹性运动麻痹是一个在临床上鉴别诊断肢体无力常被忽略的病因,而针极肌电图是辅助诊断、预测预后与追踪复原情形的良好工具。

Results There were about 20 or so abnormal manifestations after stroke and swallowing organs dysfunction include abnormal lip closure, decreased tongue motility, weakness of palate, decreased or disappeared gag reflex, abnormal lift of larynx and insufficient opening of cricopharyngeal muscle.

临床检查所明确的吞咽器官异常包括唇闭合无力、舌运动减弱、软腭麻痹、咽反射减弱或消失、喉上抬异常或消失、环咽肌打开不全的敏感度及阴性预测值普遍较高,敏感度、特异度、阳性、阴性预测值最好的临床指标分别是唇闭合无力(84.62%),环咽肌打开不全(80.96%),舌运动减弱(67.75%),唇闭合无力(90.91%)。

objective: to investigate diagnosis and treatment choice of detrusor hypoactivity with impaired contractile function on voiding function in benign prostatic hyperplasia.methods:the clinical date of 48 bph patients with dhic were analyzed,including clinical diagnosis,urodynamic parameters,treatment and follow-ups.results:37 patients with detrusor instability and over 40 cmh2o bladder pressure were treated successfully by turp.the time of indwelling suprapubic punctural cystostomy cathter was(1~8)weeks.11cases without di and under 40 cmh2o bladder pressure were treated by suprapubic punctural cystostomy,accepted the test of urodynamics after(1~3)months.7 cases with di were treated successfully by turp,4 cases without di were indwelled suprapubic punctural cystostomy cathter all life.conclusion:dhic worsens the voiding function of the patients with bph,and the test of urodynamic is helpful to diagnose and could provide more convinced evidences for treatment of patients.

分析膀胱过度充盈所致逼尿肌损伤,引起膀胱逼尿肌收缩无力良性前列腺增生48例患者的临床资料,包括诊断,尿动力学检查,治疗及随访结果。结果:37例经尿流动力学检查,诱发存在逼尿肌不稳定,伴膀胱内压达40 cmh2o以上,采取turp,术后留置膀胱造瘘管(1~8)周后全部拔除,排尿通畅。11膀胱内压始终未达到40 cmh2o,且在膀胱注水充盈过程中无逼尿肌不稳定出现,行膀胱造瘘后出院,(1~3)个月后经尿动力学检查复查膀胱逼尿肌收缩力,其中7例膀胱逼尿肌收缩功能有恢复,行经尿道前列腺汽化电切术治愈;剩余4例膀胱逼尿肌收缩功能几乎无任何改善。长期留置膀胱造瘘治疗。结论:良性前列腺增生导致膀胱过度充盈所致逼尿肌损伤,引起膀胱逼尿肌收缩无力患者,术前应用尿流动力学检查对膀胱逼尿肌损伤程度进行认真分析,可进行有针对性的治疗。

Objective: To investigate diagnosis and treatment choice of detrusor hypoactivity with impaired contractile function on voiding function in benign prostatic hyperplasia.

目的:探讨膀胱过度充盈所致逼尿肌损伤,引起膀胱逼尿肌收缩无力良性前列腺增生患者的诊断及治疗方法。

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