Xiao L, Zou K
Nerve electrophysiology lab, First Affiliated Hospital of Gannan Medical University, Ganzhou 341000, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2018 Sep 20;36(9):685-687. doi: 10.3760/cma.j.issn.1001-9391.2018.09.010.
To investigate the electromyography (EMG) characteristics and clinical significance in patients with acute trimethyltin chloride (TMT) poisoning. Retrospectively analyze the EMG results of major limb nerves and muscles of 13 patients with acute TMT poisoning. Among the 13 patients, 10 cases had abnormal and the abnormal rate was 76.9%. The same degree of involvement of upper and lower limbs is the most common. And distal peripheral nerve damage is the most common, mainly manifested as sensory damage or mixed sensory and motor damage, with axonal injury and demyelinating lesions to almost the same degree. The peroneal nerve and median nerve were the most vulnerable, with an abnormal rate of 39.1% and 35.9%, respectively. The peroneal nerve and median nerve were damaged first but recovered slowly.The ulnar nerve first appeared damaged and recovered quickly. The sural nerve was damaged later. Acute TMT poisoning can cause limb peripheral nerve damage. This damage is a slow, gradual process, and its recovery is also a slow process.
探讨急性三甲基氯化锡(TMT)中毒患者的肌电图(EMG)特征及临床意义。回顾性分析13例急性TMT中毒患者主要肢体神经和肌肉的肌电图结果。13例患者中,10例异常,异常率为76.9%。上下肢同等程度受累最为常见。且以远端周围神经损害最为常见,主要表现为感觉损害或感觉与运动混合性损害,轴索损伤与脱髓鞘病变程度几乎相同。腓总神经和正中神经最易受累,异常率分别为39.1%和35.9%。腓总神经和正中神经最早受损但恢复缓慢。尺神经最早出现损害且恢复较快。腓肠神经较晚受损。急性TMT中毒可导致肢体周围神经损害。这种损害是一个缓慢、渐进的过程,其恢复也是一个缓慢的过程。