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患者男,60岁。因眩晕、行走不稳7年,言语不清、呛咳、声嘶、小便频数2年于1990年2月入院。自1983年无诱因出现头晕、行走不稳、摇晃、渐出现言语含混。2年来饮水呛咳、声音嘶哑,不自主摇头,双上肢抖动,小便频数。有时失禁。呈进行性加重,生活不能自理。曾用“得镇”等效不佳。查体:心肺、腹正常。血压卧位、站立位均为16/11kPa。神经系统检查:意识清
Male patient, 60 years old. Due to dizziness, walking unsteady for 7 years, speechless, cough, hoarseness, urination frequency 2 years in February 1990 admitted. Since 1983, no incentive causes dizziness, unstable walking, shaking, gradually appear vague. 2 years of drinking water cough, hoarseness, involuntary shaking his head, double upper limb jitter, frequent urination. Sometimes incontinence. Progressive increase, life can not take care of themselves. Had used “the town” equivalent poor. Physical examination: cardiopulmonary and abdominal normal. Blood pressure lying position, standing position are 16 / 11kPa. Nervous system examination: clear consciousness