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流行性出血性结膜炎,俗称红眼病,是由肠道病毒70型,有称是与肠道病毒相似的微小RNA病毒(Picarna Virus)病原体引起的急性眼部传染病。红眼病毒有潜在的神经系统损害,可以使少数患者出现类脊髓灰质炎样的神经性并发症,即红眼病后瘫痪症。 1990年7月~9月,我院门诊发现红眼病后瘫痪症2例报告如下。1 病例资料例1,男, 40岁,矿工。患红眼病5天后,自觉左半身麻木、周身多汗。一周后,患者自觉左侧肢体软弱无力。就诊中查肌力左上肢Ⅲ级,左下肢Ⅴ级,左巴氏征可疑,夏道克氏征(+)。患者既往健康,无高血压、脑血管病史。门诊诊断为:红眼病后瘫痪症。治疗:每日口服地塞米松3
Epidemic hemorrhagic conjunctivitis, commonly known as pink eye disease, is caused by enterovirus 70, an acute ocular infectious disease known as Picarna Virus, a pathogen similar to enterovirus. Red-eye virus has potential neurological damage, can make a small number of patients with poliomyelitis-like neurological complications, namely, red-eye after paralysis. July 1990 ~ September, our hospital found pink eye after paralysis 2 cases are as follows. A case data example 1, male, 40 years old, miners. 5 days suffering from pink eye, conscious left half numbness, whole body sweating. A week later, the patient consciously left limb weakness. Visits in the examination of left upper limb muscle Ⅲ grade, left lower extremity Ⅴ level, suspicious of left lbs, Harcourt sign (+). Past patient’s health, no hypertension, history of cerebrovascular disease. Outpatient diagnosis as: pink eye paralysis. Treatment: daily oral dexamethasone 3