舌下垂

All patients were evaluated by dysarthria assessment made by The China Rehabilitation Research Centre before and after treatment.Results: The motor functions of phonatory organ and the ability of speech were improved.

结果：治疗后患者构音器官的运动功能明显改善，口角下垂、嘴唇力量、舌、下颌运动异常及流涎都有不同程度改善（80%~100%）；治疗前29例患者构音处于发单音和单词水平，治疗后仅2例患者构音在单词水平，36患者达句子和文章水平。

There is usually little or no progression, the EMG shows non-specific myopathic features and serum CK is normal or only slightly raised.1 The muscle biopsy may show characteristic ultrastructural abnormalities but these can be difficult to detect without specific histochemistry and/or electron microscopy that were not available in 1981 when our patient was biopsied.

查体提示：双侧眼睑下垂，易疲劳；轻度面部及颈部肌肉无力；舌肌无力并出现中央沟。无眼肌麻痹。肩部上肢带肌消瘦、明显无力，可见肩胛翼。腰部无力，行走时脊柱前凸，呈&鸭步&步态。坐位是如不用双手辅助，可能掉出椅子外。但可以依靠其脚趾和足跟站立。患者肺活量为正常的80%，心电图及超声心动图正常。CK水平为正常的2-3倍。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。