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1 临床资料 患儿女,6岁。因四肢无力45d 伴双眼视力下降20d,以瘫痪原因待查于1990年8月28日入院。患儿病前2～3周无发热及疫苗接种史,起病后亦无智力下降,入院前1周出现说话含糊不清。查体,T37℃,BP12/9 kPa,生长发育正常。右眼仅有手动感,左眼视力指数,双瞳孔等大等圆,对光反射灵敏。头颅无畸形,颈软。心肺腹均未见异常。四肢肌力Ⅳ级,肌张力降低,肌萎缩不明显。右侧肢体病变略重于左侧。全身感觉无障碍,腹壁反射存在,肱二、三头肌反射及膝、跟腱反射均减弱,病理反射未引出,双踝阵
1 clinical data Children, 6 years old. Due to limb weakness 45d with binocular vision decreased 20d, to paralysis due to be investigated in August 28, 1990 admission. Children with fever 2 to 3 weeks before the onset of fever and vaccination, no mental decline after onset, 1 week before admission appear vague. Physical examination, T37 ℃, BP12 / 9 kPa, normal growth and development. The right eye only manual sense, left eye vision index, double pupil and other large round, sensitive to light reflection. Head without deformity, neck soft. Cardiopulmonary abdominal abnormalities were not seen. Ⅳ limb muscle strength, reduced muscle tone, muscle atrophy was not obvious. Right limb disease slightly more than the left side. Systemic sensory barrier, the presence of abdominal reflex, brachial and triceps reflex knee and Achilles tendon reflexes are weakened, the pathological reflex did not lead to, double ankle array