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1 病例 男,9岁,“渐进性四肢活动障碍5月”于2003年3月7日入院。患儿2002年10月6日接种流脑疫苗,当时感右上肢疼痛,次日晚右手无力,不能持筷,且逐渐加重。1月后出现左手无力,11月5日起在当地行针灸治疗5周,其间症状渐重,且出现双下肢无力,亦为先左后右,逐渐加重,以致行走困难,同时伴有抬头、翻身困难。病程中无发热、头痛、呕吐,视力障碍、肢体麻木及抽搐,大小便也无障碍。曾在当地医院给予弥可保、三磷酸腺苷治疗,症状无缓解,遂来我院神经内科就诊。既往体健,第二胎,足月顺产,母乳喂养。 入院查体:检查欠合作。生命体征正常,头颅、颈、胸部无畸形和压痛,心肺腹(-)。神清,语利,眼底未见异常,
One male patient, age 9, was admitted to hospital on March 7, 2003, “Progressive Limb Movement Disorder May.” Children with vaccination on October 6, 2002 meningitis vaccine, then the right upper extremity pain, right hand weakness the next day, can not hold chopsticks, and gradually worsened. 1 month after the left hand weakness, November 5 in the local acupuncture treatment for 5 weeks, during which the symptoms gradually heavier, and the emergence of weakness in both lower extremities, also the first left and right, and gradually increased, resulting in walking difficulties, accompanied by rise, Turn difficult. No fever during the course of the disease, headache, vomiting, visual impairment, numbness and convulsions, urine also barrier-free. Once in the local hospital to give Mi Kebao, adenosine triphosphate treatment, no relief of symptoms, then to our hospital neurology. Past physical health, second child, term full-term, breastfeeding. Admission examination: check owed cooperation. Normal vital signs, head, neck, chest without deformity and tenderness, cardiopulmonary abdomen (-). God, language proficiency, no abnormalities in the fundus,