论文部分内容阅读
本病之典型者诊断不难,Osler氏(1960)及Farland氏(1966)均提出过若干条诊断标准。今日,诊断本病可参照如下的简要标准。①发病前有非特异性感染,此外无其他疾病可稽。②周围型运动障碍,常为对称性自下而上的进展,可犯及颅神经,呼吸肌麻痹常为本病严重发展时的倾向性归宿。③感觉障碍较轻,多具有主观性色彩,但亦可有“手套——袜子”型分布。④瘫痪的形式不一致,除典型情况外亦可有单瘫、偏瘫或交叉性偏瘫;或主张近端肌肉受累较重,但亦有主张远端肌肉受累较重者,多数认为近端与远端肌肉受累之程度没有显著差别。⑤脑脊液中的细胞数一般不超过10～30个/立方毫米,而蛋白应增高至60毫克％以上。⑥括约肌功能的障碍可有可无,一般较少见。本病须与下列诸疾病相鉴别:
The typical diagnosis of the disease is not difficult, Osler (1960) and Farland’s (1966) have made a number of diagnostic criteria. Today, the diagnosis of the disease can refer to the following brief criteria. ① before onset of non-specific infection, in addition no other diseases can be noted. Peripheral movement disorders, often symmetry bottom-up progress, can be committed and cranial nerves, respiratory muscle paralysis is often the serious development of the disease when the tendency of fate. ③ less sensory disturbances, more subjective colors, but may also have “gloves - socks” type distribution. ④ paralysis in the form of inconsistency, in addition to the typical situation may have a single paralysis, hemiplegia or cross hemiplegia; or claim that the proximal muscle involvement is more serious, but also claims that the distal muscle involvement is heavier, most of that the proximal and distal The extent of muscle involvement did not differ significantly. ⑤ cerebrospinal fluid in the number of cells generally does not exceed 10 to 30 / cubic mm, while the protein should be increased to 60 mg% or more. ⑥ dysfunction of the sphincter function optional, generally less common. The disease must be distinguished from the following diseases: