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患儿男,6岁,因咳嗽、流涕4天、发热闷喘及四肢活动不灵3天住院。两年前曾有类似情况发生,病后20天肌力开始恢复,3个月能行走,6个月正常。入院查体:呼吸促,表情淡漠,鼻扇,腹式呼吸减弱,两肺呼吸音粗,右肺痰鸣音,心率130次/分,四肢肌力Ⅱ级,腹壁和腱反射消失,下肢痛觉减退。WBC16.6×10~9/L,N0.89,血K~+5.2mmol/L。胸片示肺纹理增强,右肺点片状影。CSF常规(-)。尿常规(-)诊断:肺炎,多发性神经根炎再
Child male, 6 years old, cough, runny nose 4 days, fever and irritability and limb movement is not working 3 days in hospital. A similar situation occurred two years ago. Muscle strength began to recover after 20 days of illness. It was able to walk for 3 months and was normal for 6 months. Admission examination: shortness of breath, apathy, nasal fan, abdominal respiration weakened, both lung breath sounds thick, right lung phlegm sound, heart rate 130 beats / min, limb muscle strength Ⅱ level, abdominal wall and tendon reflex disappeared, lower extremity pain Decreased. WBC16.6 × 10 ~ 9 / L, N0.89, blood K ~ +5.2mmol / L. Chest radiograph showed enhanced lung texture, film-like shadow of the right lung. CSF routine (-). Urine routine (-) diagnosis: pneumonia, multiple nerve root inflammation and then