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目的:探讨老年性延髓型重症肌无力的临床特点。方法:收集我院2001年1月～2010年10月住院及门诊共20例老年性延髓型重症肌无力的患者的临床资料进行分析。结果:20例大于60岁的老年人以吞咽困难为主要症状,且伴有高血压、高血脂、高血糖、冠心病危险因素的患者诊断为重症肌无力。结论:年龄大于60岁且伴有脑血管病危险因素的老年人以吞咽困难为主要症状,警惕延髓型重症肌无力的可能。
Objective: To investigate the clinical features of senile bulbar-type myasthenia gravis. Methods: The clinical data of 20 elderly patients with bulbar myasthenia gravis in our hospital from January 2001 to October 2010 in our hospital were collected and analyzed. Results: Twenty patients older than 60 years old had dysphagia as the main symptom, and those with risk factors of hypertension, hyperlipemia, hyperglycemia and coronary heart disease were diagnosed as myasthenia gravis. Conclusion: Elderly people older than 60 years old with risk factors of cerebrovascular disease have difficulty swallowing as the main symptom, so alerting to the possibility of medullary myasthenia gravis.