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叶××,男,16岁,学生,住院号05297.主诉发热、头痛、周身不适8天.2天来站立不稳,两手拿物不牢,进餐动作拙笨,饭菜丢落.视物不清、幌动、复视.讲话不清,四肢瘫痪,于1976年8月21日入院.平素健康. 体检:神志清,体温37.2℃,血压120/98mmHg,心率100次/分、律齐,腹软、肝肋下1 cm、质软,两眼睑下垂,兔眼,瞳孔等大,对光反应迟钝,眼球固定,双眼视乳头鼻侧模糊,中心反光点存在.鼻唇沟双侧变浅,左侧更甚.声嘶、鼻音,发音断续.咽反射迟钝,进食反呛,软
Leaf × ×, male, 16 years old, student, hospital number 05297. Chief complaint fever, headache, whole body discomfort for 8 days .2 days to stand instability, both hands took the material is not strong, meal clumsy, food dropped. , Prejudice, diplopia. Speech is unclear, limbs paralyzed, admitted to hospital on August 21, 1976. Usually healthy. Physical examination: clear mind, body temperature 37.2 ℃, blood pressure 120 / 98mmHg, heart rate 100 beats / min, law Qi, abdomen Soft, liver ribs 1 cm, soft, ptosis, rabbit eyes, pupils and other large, slow reaction to light, fixed eyes, binocular nipple nasal blurred, central reflective point exists. Left even more. Hoarseness, nasal tone, intermittent pronunciations. Delayed pharyngeal reflex, eating anti-choke, soft