病历摘要女,5岁,东莞县人,农民之女。因发热10天,双下肢无力3天,于1985年6月12日下午被某医院诊为混合型脊髓灰质炎转来本院。10天前无诱因出现畏寒、发热(高达40℃),伴咳嗽,无痰,无鼻塞流涕,无胸痛气促。曾在当地卫生院诊治,效果欠佳。出现噁心、呕吐多次,吐出未消化食物,自觉头晕,食欲下降。继用青霉素、氯霉素、激素、维生素及补液治疗,症状无缓解。近3天来双下肢无力,不能站立及起坐,轻触四肢即感疼痛,亦不愿别人抱或背。起病以来未解大便,尿量较少。既往史:一个月前被一小狗咬伤左手背,局部有少许流血,未作消毒处理,被咬后在腹部皮下注射一周据称为狂犬疫苗针剂。流行病学史:当地年前有狂犬病病人。已多次服食“小儿麻痹”预防糖丸。有污水接触史。4月已注射乙脑预防针。已患麻疹及水痘。体格检查:体温39.5℃,脉搏120次,呼吸22次, Female medical records, 5 years old, Dongguan County, the daughter of farmers. Due to fever for 10 days, the lower extremities weakness 3 days, on the afternoon of June 12, 1985 was a hospital for diagnosis of mixed polio transferred to this hospital. 10 days ago no incentive causes chills, fever (up to 40 ℃), with cough, no sputum, no runny nose runny nose, no chest pain and shortness of breath. Have a diagnosis and treatment in the local hospitals, the effect is not good. Nausea, vomiting many times, spit undigested food, consciously dizzy, loss of appetite. Following the use of penicillin, chloramphenicol, hormones, vitamins and fluid treatment, no relief of symptoms. In the past 3 days, both lower extremities were weak, unable to stand and sit up, felt pain when touching their extremities, and did not want others to hold or back. Undetermined stool since onset, less urine output. Past history: One month ago was bitten by a small dog left hand back, a small part of the bloodshed, not for disinfection, after the bite in the abdomen subcutaneous injection for a week allegedly rabies vaccine. History of Epidemiology: Rabies patients were local years ago. Has taken “poliomyelitis” many times to prevent sugar pills. A history of exposure to sewage. April has been injected JE prevention needle. Has measles and chickenpox Physical examination: body temperature 39.5 ℃, pulse 120 times, breathing 22 times,