论文部分内容阅读
目的:探讨以延髓麻痹为首发症状的肌萎缩侧索硬化的临床特点。方法:报告3例以构音障碍等延髓麻痹症状起病的肌萎缩侧索硬化少见病例,结合文献复习,分析其临床特点。结果:在ALS患者中,以延髓麻痹为首发症状发生率相对较低,多见于老年人,最易表现为构音障碍,患者的生存期缩短,预后不良。结论:对于以延髓麻痹表现起病的ALS患者,要引起重视,及时针对延髓麻痹对症治疗,改善患者生活质量。
Objective: To investigate the clinical features of amyotrophic lateral sclerosis with bulbar palsy as the first symptom. Methods: Three cases of amyotrophic lateral sclerosis, with dysarthria of bullae, such as dysarthria, were reported, and their clinical features were reviewed according to the literature review. Results: In patients with ALS, the incidence of bulbar paralysis as the first symptom was relatively low, more common in the elderly, the most likely to show dysarthria, patients with shortened survival and poor prognosis. Conclusion: For patients with ALS who show onset of bulbar paralysis, attention should be paid to symptomatic treatment of bulbar palsy in time to improve the quality of life of patients.