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男性,24岁.发热4天伴乏力、纳减、皮肤黄染、剑突以下皮肤麻木,两下肢不能站立行走、尿潴留2天于1990年5月20日转入我院.体检:神志清楚,巩膜皮肤中度黄染.颈软,心肺听诊正常.腹软,肝肋下2.0cm、质尚软,脾未及,膀胱充盈.两上肢肌力正常,两下肢弛缓性瘫痪、肌力0级.第7肋间以下皮肤癌、触觉减弱.腹壁反射、提睾反射、膝、跟腱反射消失,病理反射未引出,视力及眼底检查无异常发现.血Hb125g/L,WBC6×10~9/L,NO.76,LO.24.血钾4.55mmol/L,钠143mmol/L,氯100mmol/L.总胆红素169μmol/L,谷丙转氨酶457IU,A/G为 4.26/3.15.IgG17.3g/L,IgA3g/L,IgM5.1g/L.抗HAV-IgM(+),HBsAg、HBeAg、抗-HBc均(-).抗-HBs、抗-HBe(+).抗 CMV-IgM(-)、EBV-lgM(-).脑脊液为黄色透明、45滴/分、播氏试验(-)、
Male, 24 years old Fever 4 days with fatigue, Minus, yellow skin, xiphoid skin numbness, the lower limbs can not stand walking, urinary retention 2 days in May 20, 1990 transferred to our hospital. , Scleral skin moderate yellow dye. Neck soft, cardiopulmonary auscultation normal. Abdominal soft, liver ribs 2.0cm, quality is still soft, spleen and bladder filling. Two upper limb muscle strength normal, flaccid lower limb paralysis, muscle strength 0 Grade 7, the following intercostal skin cancer, tactile decline. Abdominal wall reflex, cremasteric reflex, knee, Achilles tendon reflex disappeared, pathological reflex did not lead to visual acuity and fundus examination no abnormalities found. Blood Hb125g / L, WBC6 × 10 ~ 9 /L,NO.76,LO.24. Potassium 4.55mmol / L, sodium 143mmol / L, chlorine 100mmol / L. Total bilirubin 169μmol / L, alanine aminotransferase 457IU, A / G 4.26 / 3.15.IgG17 Anti-HBs, anti-HBe (+), anti-CMV-IgM (+), anti-HBs (-), EBV-lgM (-). Cerebrospinal fluid was yellow and transparent, 45 drops / minute, sow’s test