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一、诊断和鉴别诊断从病史和临床所见,本患者有如下几个特点:(1)病前两周有感冒发烧史。(2)对称性的上下肢趾灼痛、发麻,其感觉障碍呈脚袜手套型。(3)四肢呈下运动神经元性瘫痪。(4)口眼歪斜呈核下性面神经瘫体征。(5)皮肤菲薄出现营养障碍。(6)病变过程中出现心悸、气短、心音减弱。(7)心电图 S-T 段压低及 T 波低平。(8)实验室检查:中性粒细胞增高。(9)脑脊液呈蛋白质与细胞分离现象。根据以上特点,我们应考虑以下几个疾病:急性脊髓灰质炎 (1)本病多发生于冬春季流行季节及流行区,有流行病史。(2)好侵犯儿童。(3)
First, the diagnosis and differential diagnosis From the history and clinical findings, the patients have the following characteristics: (1) fever two weeks before the disease history. (2) Symmetry upper and lower limbs toe burning, tingling, the sensory disturbance was foot socks gloves type. (3) limbs were paralyzed under motor neuron. (4) Kouyanwaixie nuclear subnuclear facial paralysis. (5) Melancholy appear nutrition disorders. (6) palpitations occur during the lesion, shortness of breath, weakening heart sound. (7) ECG S-T segment depression and T wave low flat. (8) laboratory tests: neutrophils increased. (9) cerebrospinal fluid showed protein and cell separation phenomenon. According to the above characteristics, we should consider the following diseases: acute poliomyelitis (1) the disease occurred in winter and spring epidemic season and epidemic areas, a history of epidemics. (2) good child abuse. (3)