瘫痪 Microsoft Word 文档(国外英文资料).docVIP

瘫痪 Microsoft Word 文档(国外英文资料) paralysis Diagnostic thinking: Medical history (1) history 1) paralysis, monoplegia? Hemiplegia? Paraplegia? Tetraplegia is? 2) whether there is a partner with cranial nerve paralysis or only cranial paralysis 3) acute onset of disease or chronic onset of disease 4) there is a fluctuating phenomenon such as heavy night weight and heavy strain 5) there is a history of repeated paralysis Diagnostic thinking Should be able to identify organic paralysis or hysteria After the determination of organic paralysis, further localization of diagnosis is made Identify the cause Myogenicity: the myasthenia is powerless Peripheral nerves: infection poisoning metabolism drug bruises Cerebral hemiplegia: A thrombosis, TIA, and cerebral hemorrhage 2 brain contusion is a decompression disease Various encephalitis and cerebral abscesses Motor neuron paralysis The lower motor neurons are paralyzed The scope of the paralysis Influence of muscles For individual muscles Muscle atrophy It is not obvious that the loss can cause mild atrophy obvious Muscle tension increased slow Tendon reflex hyperthyroidism reduce Pathological reflex There are There is no Muscle tremor There is no Can have electromyography The action potential increases when the force contracts The action potential of the action is normal or reduced when the force is contracted The identification of peripheral and central facial paralysis Around sexual facial paralysis Central facial paralysis Pathological changes The facial nerve or the facial nerve Nerve damage of the cortical brain stem above the nucleus Signs and symptoms Shallow or disappear Close your eyes cant Shallow or disappear of the mouth of the nose Altercation down normal normal shallow drop The identification of motor neuronuloplegia in the upper and lower motor Upper motor neuron sex (pseudomedullary paralysis) The lower motor neurons (medullary paralysis) Pathological changes The biconcoid bundle Unilateral or bilateral glossop