论文部分内容阅读
目的 探讨神经肌炎的临床特点、实验室检查及诊断标准。方法 对 15例神经肌炎患者的临床表现及实验室检查的资料进行分析。结果 发现此病患者有如下特点 :15例患者均有不同程度肌无力 ,2例伴有肌肉酸痛 ;所有患者均有不同程度血清肌酶升高 ,其中 10例超过正常 5倍 ;全部患者肌电图异常 ,其中13例呈神经或肌肉神经混合损害 ,2例呈肌源性损害 ;14例肌活检中 13例呈肌炎性改变 ,1例病程超过 3年者呈肌病改变。结论 临床表现结合实验室检查可以诊断神经肌炎 ,早期诊断治疗与预后有关
Objective To investigate the clinical features of neuromyositis, laboratory tests and diagnostic criteria. Methods The clinical manifestations of 15 patients with neuromyositis and the data of laboratory tests were analyzed. The results showed that the patients have the following characteristics: 15 patients had varying degrees of muscle weakness, 2 patients with muscle soreness; all patients had varying degrees of serum muscle enzymes, of which 10 cases more than normal 5 times; all patients EMG Among them, 13 cases showed neuromuscular nerve damage and 2 cases were myogenic damage. Thirteen cases of muscle biopsy showed myogenic changes, and one case showed myopathy for more than 3 years. Conclusion Clinical manifestations combined with laboratory tests can diagnose neuromuscular inflammation, early diagnosis and treatment and prognosis