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病史摘要患者男性,34岁,院号413525,于1977年7月17日因急性上行性脊髓炎伴尿失禁及下肢截瘫入院。当时体温40℃,呼吸困难,仅见胸式呼吸,神志尚清,吞咽及咳嗽反射存在,胸2～3节段水平以下感觉缺失,深浅反射均消失,下肢肌张力0°,上肢肌力Ⅳ°。血压正常。白细胞计数10000/立方毫米,多核89％。未作腰穿。入院后即予板蓝根、大蒜液抗病毒,亦给青霉素、链霉素、地塞米松等,但高热不退、神志模糊、呼吸极浅、全身大汗淋漓。4日后进水呛咳,胸式呼吸消失,四肢厥冷、青紫,即行
Summary of patient history Male, 34 years old, hospital number 413525, on July 17, 1977 due to acute ascending myelitis with urinary incontinence and paraplegia admitted. The body temperature was 40 ℃, dyspnea, only the thoracic breathing, clear consciousness, swallowing and cough reflex exist, the chest below the level of 2 to 3 sensory loss, depth reflex disappeared, lower limb muscle tension 0 °, upper limb muscle strength Ⅳ ° . Normal blood pressure. WBC count 10000 / mm3, multi-core 89%. Not wear waist. After admission to Banlangen, garlic liquid antiviral, but also to penicillin, streptomycin, dexamethasone, etc., but high fever, ambiguity, very shallow breathing, body sweating. 4 days after the water choking, chest breathing disappeared, extremities Jueleng, bruising, that line