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柞蚕蛹性脑病国内已有几十例报道,现将我们90年1月至91年3月期间收治的16例报告如下。临床资料一般资料男性12例。女性4例,发病年龄5～42岁。食用蚕蛹量少者8枚,多者30余枚,16例中均有同餐者,少者3人,多者8人,均无发病。本组病例于食用蚕蛹后1～19小时急性起病。1例有索米痛过敏史。临床表现本组均以眩晕、恶心、呕吐、四肢震颤发病。9例有精神症状,其中7例表情呆滞、反应迟钝、计算力、定向力、记忆力、判断力下降,2例喊叫、燥动不安、有时打人;3例有意识障碍;言语缓慢或不清6例,头痛3例,16例均有全身肌阵挛,以面部、头及四肢肌阵挛为主;本组均有步态蹒跚,站立不稳或站立不能,3例指鼻不准,轮替障碍;11例四肢肌张力增高,2例减弱;7例四肢深反射增高;双侧病理征阳性者2例,项强者2例;尿潴留3例;心律失常者3例。
Tussah pupae encephalopathy has been reported in dozens of domestic cases, now we from January 1990 to March 1991 were treated 16 cases reported as follows. General information on clinical data in 12 males. 4 females, the age of onset of 5 to 42 years old. Chrysalis edible small amount of 8, more than 30, 16 patients with the same meal, less 3, more than 8, no incidence. This group of patients in the edible silkworm pups 1 to 19 hours after acute onset. One patient had a history of allergic acid pain. Clinical manifestations of this group are dizziness, nausea, vomiting, limb tremor onset. 9 patients had psychiatric symptoms, of which 7 were dull, unresponsive, calculating, directional, memory, and judgment decreased, 2 shouted, restless, and sometimes beaten; 3 had disturbance of consciousness; slow or unclear speech 6 Cases, headache in 3 cases, 16 cases of myoclonus have systemic myoclonus, with facial, head and limb myoclonus; the group has gait staggering, standing instability or standing can not, 3 refers to the nose is not allowed, the wheel Eleven cases of limb muscle tension increased, 2 cases weakened; 7 cases of deep extremities deep reflex; bilateral pathological signs were positive in 2 cases, 2 cases of strong items; 3 cases of urinary retention; arrhythmia in 3 cases.