1临床资料患者女,46岁,因“排尿困难四肢无力1周头痛、发热3 d”于2014年4月23日收入我院。患者入院前1周淋雨后出现排尿困难、排尿费力,随后出现四肢无力,站立行走困难。3 d前出现头痛发热,体温最高达39℃,为求进一步诊治来我院。体检:神智清楚,言语流利,颅神经(-),颈强直3F,双上肢肌力Ⅳ级,双下肢肌力Ⅲ级,四肢腱反射减弱,双病理反射 1 Clinical data Patients Female, 46 years old, because “dysuria limb weakness 1 week headache, fever 3 d ” in April 23, 2014 income in our hospital. One week before admission, patients had dysuria after the rain, urination and laboriousness, followed by limb weakness, standing and walking difficulties. 3 days before the headache fever, body temperature up to 39 ℃, in order to further diagnosis and treatment to our hospital. Physical examination: cleverness, fluent speech, cranial nerves (-), neck stiffness 3F, upper limb muscle strength grade Ⅳ, lower limb muscle strength Ⅲ grade, limb tendon reflexes weakened, double pathological reflex