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急性感染性多发性神经炎并发尿崩症国内尚未见报导,现将我院收治的一例报告如下:袁××,女性,19岁,因急起张口困难、发音低哑、进食反呛伴四肢无力三天于1980年12月10日入院。患者于入院前三天开始感头痛、全身不适,倦睡,醒后即张口困难、发音低哑、进水和干饭反呛,四肢无力,咳嗽无力。次日四肢无力加重,并气短、胸闷,多汗。无畏寒发热。既往健康,无特殊病史。入院体检:体温37.1℃,脉搏92次/分,呼吸22次/分,血压128/78mmHg。神志清楚,表情痛苦烦躁,唇指发绀,胸廓运动无力,心律规则,心音低钝,两肺可闻及痰鸣音,腹(-)。神经系统检查:张口受限,两侧咀嚼肌无力;两侧露齿、皱额及闭目均无力;两侧软腭上抬不能,咽反射迟钝;伸舌不能。四肢肌张力低,肌力Ⅱ°。腱反射减弱,腹壁反射消失,病理反射(-)。
Acute infectious polyneuritis complicated by diabetes insipidus has not been reported in the country, now a case of our hospital reported as follows: Yuan × ×, female, 19 years old, due to acute mouth opening difficulties, dumb pronunciation, eating anti-choke with limbs Inability three days in December 10, 1980 admission. Patients began to feel headache three days before admission, general malaise, drowsiness, wake up after the mouth is difficult, dumb pronunciation, water and dry rice anti-choke, weakness, cough and weakness. Limbs weakness the next day, and shortness of breath, chest tightness, sweating. Fearless cold fever. Past health, no special history. Admission medical examination: body temperature 37.1 ℃, pulse 92 beats / min, breathing 22 beats / min, blood pressure 128 / 78mmHg. Consciousness, facial expression painful irritation, cyanotic lip, thoracic motion weakness, heart rate rules, heart sounds low blunt, both lungs can be heard and phlegm sounds, belly (-). Nervous system examination: limited mouth, chewing muscle weakness on both sides; both sides of exposed teeth, wrinkles and eyes closed are weak; both sides of the palate can not lift, pharyngeal reflex dull; Limb muscle tension is low, muscle strength Ⅱ °. Tendon reflex decreased, abdominal reflex disappeared, pathological reflex (-).