急性坏死性肠炎是儿科常见疾病,起病急剧,稍有延误诊治,死亡率高。除主要侵犯消化道外,个别同时侵犯心肝肾的病例已有报导(见《新医药通讯》5:14,1980)。本文现报导一例急性坏死性肠炎合并周围神经损害而致下肢不完全瘫痪者。病例:男,5岁,住院号2236。因腹痛、血便16小时,于1980年10月7日入院。患儿于6日傍晚突然脐周腹痛,阵发加剧,口干、多汗,8小时后排出暗红血水样大便二次,恶臭。呕吐一次伴烦躁,意识模糊急诊入院。检查:体温37.8℃,呼吸36次/分,脉搏130次/分,血压100/70毫米汞柱。营养发育中等,神志模糊,躁动,五官无异常,鼻唇沟对称,心率促,音低钝,律整,肺阴性,腹平,无明显压痛反应,肠鸣正常,四肢循环好,活动正常,无神经系病理征。白细胞 Acute necrotic enteritis is a common pediatric disease, rapid onset, a slight delay in diagnosis and treatment, high mortality. In addition to the main invasion of the digestive tract, cases of simultaneous heart, liver and kidney infiltration have been reported (see New Medical News 5: 14,1980). This article reports a case of acute necrotic enteritis with peripheral nerve damage caused by incomplete paralysis of the lower limbs. Case: male, 5 years old, hospital number 2236. Due to abdominal pain, bloody stool 16 hours, admitted to hospital on October 7, 1980. Children in the evening of the 6th suddenly umbilical abdominal pain, paroxysmal exacerbations, dry mouth, sweating, dark red blood-like stool discharged after 8 hours, stench. Vomiting once with irritability, confusion emergency admission. Check: body temperature 37.8 ℃, breathing 36 beats / min, pulse 130 beats / min, blood pressure 100/70 mm Hg. Nutritionally developed, confusion, restlessness, facial features no abnormalities, nasolabial fold symmetry, heart rate, tone low blunt, law, lung-negative, abdominal flat, no significant tenderness reaction, normal bowel movements, limbs circulation is good, No neurological pathology sign. leukocyte