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例1:赵某某男,60岁。患糖尿病3年,以控制饮食治疗,无明显症状。自半年前进行性两手无力,动作笨挫,肌肉萎缩,于1个月前走路不稳,踏棉花感,夜间明显,检查:颅神经正常。两手握力弱,大小鱼际肌和骨间肌轻度萎缩。两下肢肌力正常,关节位置觉和音叉振动觉消失。空腹血糖20.8mmol/L,两手肌电图显示脊髓前角细胞病变。
Example 1: Zhao Moumou male, 60 years old. 3 years suffering from diabetes to control diet, no obvious symptoms. Six months ago from the progressive weakness of both hands, stupid movements, muscle atrophy, walking a month ago instability, tread cotton feeling significantly at night, check: normal cranial nerves. Hand grip is weak, the size of the atresia and interosseous muscle mild atrophy. Two lower extremity muscular strength, joint position perception and tuning fork vibrations disappear. Fasting blood glucose 20.8mmol / L, both EMG showed spinal cord anterior horn cells.