3例以延髓麻痹为首发表现的肌萎缩侧索硬化的病例报告  

A Report of 3 Cases: Amyotrophic Lateral Sclerosis(ALS) with Onset of Bulbar Palsy

作　　者：贾红娟[1] 崔志堂[1] 闫俊杰[1] 吴英[1] 张锦[1] 

机构地区：[1]大庆油田总医院神经内科,黑龙江大庆163000

出　　处：《现代生物医学进展》2012年第21期4102-4104,共3页Progress in Modern Biomedicine

摘　　要：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： Discuss the clinical feature of ALS with onset of bulbar palsy. Methods： Report 3 rare cases of ALS with onset ofbulbar palsy symptoms such as dysarthria, and analysed its clinical features combined with literature review. Results： In ALS patients, bulbar pulsy as the first symptom is relative rare, and patients were apt to display the symptoms ofdysarthria with shortened longevity and poor prognosis. Conclusions： For the ALS patients with onset of bulbar palsy symptoms, we should pay more attention to promptly symptomatic treatment for bulbar paralysis so as to improve the quality of life.

关 键 词：肌萎缩侧索硬化 延髓麻痹 首发症状 临床特点 

分 类 号：R741[医药卫生—神经病学与精神病学]