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患者,女13岁,因四肢弛缓性瘫痪5天伴吞咽困难3天就诊。T36.2℃,BP100/60mmHg。全身皮肤未见出血点及瘀斑。心肺检查未见异常。神智清晰,吐词不清,双眼闭合不全,额皱消失,双鼻唇沟变浅,鼓腮不能,舌难以伸出,咽反射消失,双上肢肌力Ⅲ级,双下肢肌力Ⅱ级。全身感觉正常。双膝反射减弱,未引出病理反射。颈强,克匿格氏征阳性。末梢血象白细胞24000,中性90%,淋巴10%。腰穿脑脊液无色透明,细胞数4个,潘迪氏试验(+),糖>50mg%。脑脊
Patient, female, 13 years old, with paralysis of limbs flaccid for 5 days with dysphagia 3 days treatment. T36.2 ° C, BP100 / 60 mmHg. No bleeding and ecchymosis of the whole body skin. Cardiopulmonary examination showed no abnormalities. Divine clarity, unclear voices, eyes closed incomplete, forehead wrinkles disappear, double nasolabial fold shallow, drums can not, the tongue is difficult to stretch, pharyngeal reflex disappeared, upper extremity muscle strength Ⅲ, lower extremity muscle strength Ⅱ. The whole body feels normal. Reflex decreased knees, did not lead to pathological reflex. Neck strong, Ke Duger’s sign positive. Peripheral blood leukocytes 24000, 90% neutral, lymphatic 10%. Waist wear cerebrospinal fluid was colorless and transparent, cell number 4, Pandey’s test (+), sugar> 50mg%. Cerebrum