| 肌萎缩侧索硬化三例误诊分析 |
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| 引用本文： | 王瑞莉,冯金平,隋玲玲,赵彩君,赵晓静. 肌萎缩侧索硬化三例误诊分析[J]. 脑与神经疾病杂志, 2011, 19(4): 284-287 |
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| 作者姓名： | 王瑞莉 冯金平 隋玲玲 赵彩君 赵晓静 |
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| 作者单位： | 聊城市第三人民医院神经内科,山东,252000 |
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| 摘 要： | 目的掌握肌萎缩侧索硬化(ALS)的诊断标准,以便早期准确诊断,避免误诊。方法分析3例ALS患者早期被误诊的临床资料。结果 3例患者均以下肢无力发病,逐渐波及上肢或对侧肢体,脊柱MR I示颈部或腰部椎间盘突出压迫硬膜囊,手术治疗后,症状无缓解,病情仍进行性加重,经肌电图检查证实为ALS。结论临床医师应熟知ALS的诊断标准,对患者详细询问病史、认真查体和电生理检查是减少ALS误诊的关键。
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| 关 键 词： | 肌萎缩侧索硬化 临床表现 早期诊断 误诊 |
Analysis of three cases of misdiagnosis of amyotrophic lateral sclerosis |
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| WANG Rui-li,FENG Jin-ping,SUI Ling-ling,ZHAO Cai-jun,ZHAO Xiao-jing. Analysis of three cases of misdiagnosis of amyotrophic lateral sclerosis[J]. Journal of Brain and Nervous Diseases, 2011, 19(4): 284-287 |
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| Authors: | WANG Rui-li FENG Jin-ping SUI Ling-ling ZHAO Cai-jun ZHAO Xiao-jing |
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| Affiliation: | WANG Rui-li,FENG Jin-ping,SUI Ling-ling,ZHAO Cai-jun,ZHAO Xiao-jing.Department of Neurology,Liaocheng No.3 People Hospital,Shandong 252000,China |
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| Abstract: | Objective To master the diagnostic code of amyotrophic lateral sclerosis(ALS) for early diagnosis,avoid misdiagnosis.Methods The clinical of 3 cases of ALS that were early misdiagnosed were analyzed.Results 3 cases onset from lower limb weakness,spread to pectoral limb or opposite side,dorsal spine MRI:compression of meninx fibrosia,after operation,symptoms was not relieve and pathogenetic condition was aggravating,ALS was confirmed by electromyogram(EMG).Conclusion It is linchpin for clinician to avoid mis... |
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| Keywords: | Amyotrophic lateral sclerosis Clinical characteristics Early diagnosis Misdiagnosis |
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