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例1:男,32岁,住院号047921。因四肢软瘫4天于1978年6月17日入院。病前有上呼吸道感染史,体温38.5℃,5天后体温正常,第2天出现双下肢无力及双手麻木,很快出现四肢瘫痪,声音嘶哑及呛咳。3个月前有同样发作,脑脊液有明显的蛋白细胞分离现象。当时查体四肢软瘫,四肢腱反射消失,在某医院治疗月余基本痊愈。检查:神志清,咽反射迟钝,双手小肌肉轻度萎缩,四肢弛缓性全瘫,呈手套、袜套式,痛觉减退,深感觉及图形觉减退,四肢腱反射未叩出,病理反射阴性,无膀胱直肠功能障碍。脑脊液细胞5个,蛋白272毫克%。入院第3天出现呼吸肌麻痹,即行气管切开,自动呼吸机辅助呼吸,经激
Example 1: Male, 32 years old, hospital number 047921. Four days due to extremities and soft paralysis in June 17, 1978 admission. Premorbidly had a history of upper respiratory tract infection, body temperature 38.5 ℃, normal body temperature after 5 days, the first two days of weakness and numbness of both lower extremities, quadriplegia soon appeared paralyzed, hoarseness and cough. 3 months ago, the same attack, there is a clear separation of cerebrospinal fluid protein. At that time physical examination of limbs paralysis, limb tendon reflex disappeared, the month of treatment in a hospital basically recovered. Examination: Consciousness, slow pharyngeal reflex, mild muscle weakness in both hands, flaccid paralysis of limbs, glove, hosiery, pain relief, deep sensory and graphic depreciation, limb tendon reflexes not knocked out, pathological reflex negative, no Bladder rectal dysfunction. Cerebrospinal fluid cells 5, 272 mg protein. Respiratory muscle paralysis appeared on the 3rd day of hospitalization, tracheotomy, automatic ventilator-assisted breathing,