患者，女，２３岁，工人。２０天前因畏寒、发热、咽部疼痛、吞咽困难在某传染病院行咽拭子培养出白喉棒状杆菌而确诊为咽白喉，经治疗半月后临床症状消失。但６天后出现胸闷、咯痰无力，吞咽困难，饮水呛咳，发音不清，多汗，流涎。同时出现四肢对称性无力、麻木并呈进行性加 Patient, female, 23 years old, worker. 20 days ago due to chills, fever, pharyngeal pain, dysphagia throat swabs in a infectious disease hospital out of Corynebacterium diphtheria and diagnosed as pharyngeal diphtheria, clinical symptoms disappeared after half a month. However, 6 days after the chest tightness, expectoration weakness, difficulty swallowing, drinking cough, unclear pronunciation, sweating, salivation. At the same time limbs symmetry weakness, numbness and progressive addition