病历摘要 徐某,男,16岁,未婚,学生,江苏人。主诉:发热、语言不清、咽下困难,四肢无力进行性加重50余天,呼吸困难周余。 起病时先感头胀头痛,伴低热,起病4日后出现饮水呛咳、语言不清,右上下肢无力,1周后症状明显加重,3周后开始反复呕吐,持续3天,同时张口受限、不能进食、右上下肢完全不能动,卧床不起,1个月后开始头晕,视物旋转,双侧眼球左右活动受限,左上下肢亦无力,病程中一直有低 Medical record summary Xu, male, 16 years old, single, student, Jiangsu people. Chief Complaint: Fever, unclear language, difficulty swallowing, exacerbation of extremities, more than 50 days, difficulty breathing for more than a week. First onset of headache headache, with fever, 4 days after the onset of drinking cough, unclear language, right upper limb weakness, 1 week after the symptoms were significantly increased, began to vomit after 3 weeks, for 3 days, at the same time Limit, can not eat, right upper and lower limbs completely unable to move, bedridden, 1 month after the start dizziness, depending on the material rotation, bilateral orbital left and right activities are limited, left upper and lower limbs also weakness, the disease has been low