论文部分内容阅读
[病历摘要]患儿徐××3岁,女孩,山西壶关籍。因发热5天,不能进食3天,于1973年9月2日急诊入院,住院号21946。入院时检查:患儿神志清楚,呼吸尚平稳,左侧鼻唇沟浅,咽喉腔及口腔均有多量痰液从口角流出,给予饮水则从双侧鼻孔流出,咽下困难,咽反射消失(以压舌板触及悬壅垂及软腭均无反射存在),出汗较多,体温37.3—38℃。腰穿见脑脊液清亮。蛋白定性试验阴性,细胞数2/mm~3,五管糖试验50毫克％。入院后初步诊断感染性多发性神经根炎(即格林—巴利氏综合征)左侧面神经麻痹及吞咽麻痹。治疗开始用维生素B50毫克每日2次,维生素B12
[Medical records] Xu × × 3-year-old girl, Shanxi Juguan membership. Due to fever for 5 days, can not eat for 3 days, on September 2, 1973 emergency admission, hospital number 21946. Admission examination: children with clear consciousness, breathing is still stable, the left nasolabial fold shallow, the throat and mouth have a large amount of sputum from the mouth outflow, give water from the bilateral nostrils outflow, dysphagia, gag reflex disappeared Tongue pressure to touch the hanging overhang and soft palate no reflex exist), more sweating, body temperature 37.3-38 ℃. Waist wear see cerebrospinal fluid clear. Negative protein qualitative test, the number of cells 2 / mm ~ 3, five sugar test 50 mg%. After admission, preliminary diagnosis of infectious multiple nerve root inflammation (ie, Green-Barre syndrome) left facial paralysis and paralysis of the swallowing. Treatment started with vitamin B50 mg twice daily, vitamin B12