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骨科与神经系统疾病的纠结 PowerPoint PPT Presentation


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骨科与神经系统疾病的纠结. 航空总医院神经内科 邢岩. 主要内容. 哪些神经系统疾病易误诊为单纯的颈腰椎病? 肌电图在鉴别诊断中的价值 骨科手术前后为什么要警惕脑血管病的发生?. 主要内容. 哪些神经系统疾病易误诊为单纯的颈腰椎病? 肌电图在鉴别诊断中的价值 骨科手术前后为什么要警惕脑血管病的发生?. 易误诊为单纯颈腰椎病的常见神经系统疾病. 运动神经元病( MND/ALS) 各种神经卡压综合征 脊髓灰质炎 多灶性脱鞘病 平山病 脊髓亚联合性变性 重症肌无力 肌无力综合征 后循环缺血. 主要内容. 哪些神经系统疾病易误诊为单纯的颈腰椎病?

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骨科与神经系统疾病的纠结

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  • MND/ALS)



EMG2080EMG

EMG

EMG


EMG

.


EMG-


RNSFH



CJDHIV



  • 1.

  • 2.

  • 3.




EMGNCV

1. ALS

  • 1~3/10

  • 2~5

  • 5~10%20%SOD


Stephen William Hawking

Lou GehrigsLou Gehrigs 621ALS


1ALS/MND

  • 3.5

  • EMGNCV

  • MRI


2ALS/MND

  • 90%~95%

  • 43%

  • EMG


2ALS/MND

  • MRI

  • EMG


3ALS/MND

  • SCV

  • MCVF

  • EMG


ALS/MND NCVF

  • SCV3/9121

  • MCV

  • MRC

. 2003104258-261


ALS/MNDNCVF

  • F6.6%F60 % F23.8%0

  • FMRC

. 2003104258-261


ALS/MND NCVF

  • MCV

  • F

    • F


ALS/MND EMG

    • 80%3.3%

    • 76.5%

    • 90%


-ALS


2.

1NCS

    • NCSCMAPMCV

    • SCVSNAP


2EMG

    • C5C6C7C8

    • C6C5C7


  • EMG

    • MUAPs


C6


C5

C7


C6


  • CTMRIEMG

  • EMGALS


3.

1NCS

  • /

    • CMAPSNAP


2EMG

    • MUAPs

  • C8/T1


4.

  • N

  • NC5T1C6

  • 8

  • N9144


  • 40~60

  • :3:1


  • N

  • Tinel+N

  • Phalen+30~60


  • NCS

      • NNCSSCV/SNAP

      • DMLCMAPDML

      • NCS


    • EMG

    • MUAP

    • DML



-


GBS


CTS


-MG


-LEMS




  • EMGNCV


EMG

MUAPs

RNS

SFEMGSSR

MCVSCVF


EMG

1

2

3

4S

5


ALS


EMGGBS


MEPVEPSEPBAEP

SSR

ASEMG

SFEMG

/

CNS


NCVEMGSSRFHSEPVEPBAEP

SFEMG

ASEMG

MEP


-

-BAEP

-NCVSSR

-SSR

-

MG-RNS

-NCV+EMG

PDMSAPSP-ASEMG



  • TCD




  • Login