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脊髓前角灰白质炎在瘫痪以前很难诊断,在散发患者更难做到早期诊断,顿挫型患者常被忽略,此病的典型患者,有马鞍型的发烧,在第二次发烧时出现瘫痪,瘫痪的特点是弛缓性,多不对称,感觉不受障碍,脑脊液在早期的改变如压力增高,球蛋白弱阳性或正常,细胞数略增加,一般都在50—300左右,细胞总数多时则中性高,少时则淋巴高,糖正常或升高,氯化物正常,有时早期脑脊液并无改变,须靠以后复查或观察有无瘫痪来确诊,许多疾病与脊髓前角灰白质炎相似。现将一些较常见的疾病作一鉴别诊断。一、瘫痪以前的早期症状须与以下疾病鉴别 1.上呼吸道感染:脊髓前角灰白质炎在早期有发烧,咽疼,头疼,恶心,呕吐或腹泻,与上呼吸道感
Anterior horn of spinal cord is very difficult to diagnose before paralysis. It is more difficult to diagnose early in patients who are experiencing dissemination. Patients with setback are often overlooked. Typical patients with this disease have saddle-shaped fever and paralysis on the second fever , Paralysis is characterized by flaccid, asymmetric, feeling unobstructed, early changes in cerebrospinal fluid such as increased pressure, weakly positive or normal globulin, a slight increase in the number of cells, usually in the 50-300 or so, the total number of cells Neutral high, when the lymphatic high, normal or elevated sugar, normal chloride, and sometimes no change in early cerebrospinal fluid, to rely on later review or observation paralysis to confirm the diagnosis of many diseases similar to anterior horn horn disease. Now some of the more common diseases for a differential diagnosis. First, the symptoms of early paralysis before and the following diseases should be identified 1. Upper respiratory tract infection: anterior horn horn disease in the early phase of fever, pharyngitis, headache, nausea, vomiting or diarrhea, and upper respiratory tract sensation