论文部分内容阅读
病例资料患者女,42岁,因复视、右上眼睑下垂、四肢无力、时有吞咽及呼吸困难3个月于1984年4月7日入院。查体:慢性病容,表情淡漠,步态蹒跚。右上眼睑下垂,睑裂变小,双瞳孔大小正常,对光反射灵敏,各方向注视均为复视,眼底正常。心、肺听诊及腹部检查无异常发现,四肢肌力为Ⅳ级,膝睫反射减弱。血、尿、便常规正常,新斯的明试验(+),胸部X线片示:右前下纵隔有一边缘清楚
Case information Female, 42 years old, due to diplopia, right upper eyelid ptosis, weakness, sometimes swallowing and breathing difficulties for 3 months in April 7, 1984 admission. Physical examination: chronic disease, apathy, gait faltering. Right upper eyelid ptosis, palpebral fissure small, double pupil size normal, sensitive to light reflection, all directions are double vision, funduscular normal. Heart, lung auscultation and abdominal examination showed no abnormalities, limb muscle strength of grade IV, knee eyelashes reflex decreased. Blood, urine, they are routine normal, neostigmine test (+), chest X-ray showed: the right anterior mediastinal margin has a clear edge