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病例简介女性,23岁,于1985年11月23日由北京抵达四川省西昌市,次日即患腹泻,每日3～4次,水样便,无脓血及里急后重.1986年元月3日晨8时,患者突感左项部酸痛,旋即双下肢麻木,渐上升至躯干及双上肢,全身乏力,呼吸困难,头痛,声嘶,半小时后意识不清.入院检查:T36℃C,P70次/分,R36次/分.BP100/60mmHg.神志恍惚,声嘶、呛咳,流涎.呼吸表浅且不规则,口唇发绀.颈3以下痛觉迟钝,双上臂下1/3以下痛觉消失.左侧肢体肌力0级,右侧Ⅱ级;全部腱反射消失,未引出病理反射.病后13小时腰穿,脑脊液无异常.此后第2、3、4周各测脑脊液一次,其蛋白含量均在正常范围.胸片示:右肺中、下叶炎症改变,右上叶肺不张,双侧膈肌麻痹,发病24小时,自主呼吸停止,血压测不出,
Case description Female, 23 years old, arrived in Xichang, Sichuan province from Beijing on November 23, 1985 and suffered from diarrhea the next day, 3 to 4 times a day, with watery stools and no sepsis and tenesmus. On the morning of the 8th, the patient suddenly felt the soreness of the left part, immediately double numbness of the lower extremities, gradually rising to the trunk and upper extremities, malaise, dyspnea, headache, hoarseness, unconsciousness after half an hour. , P70 beats / min, R36 beats / min.BBP100 / 60mmHg. Trance, hoarseness, cough, drooling .Seprous and irregular breathing, lips cyanosis .Abdominal pain below 3, The left limb muscle strength 0, the right Ⅱ level; all the tendon reflex disappeared, did not lead to pathological reflexes. 13 hours after the disease lumbar puncture, cerebrospinal fluid no abnormalities. Protein content are in the normal range.X-ray showed: the right lower lobe inflammation changes, the right upper lobe atelectasis, bilateral paralysis of the diaphragm, the onset of 24 hours, spontaneous breathing stopped, blood pressure can not be measured,