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病儿男,9岁。两年来经常发热、咽痛、伴双膝关节疼痛,曾于地区医院诊断为风湿病,未经系统治疗。9天前自觉右侧肢体麻木,两天后微痛,继之发生右上下肢进行性瘫痪,无发热、头痛及抽搐,时有心悸,于1981年12月19日入院。检查:体温37℃,血压90/70mmHg,神志清楚,双侧瞳孔对光反应正常,双侧扁桃体Ⅱ°肿大,表面不光滑。颈软,双肺呼吸音清晰,心界不大,心率104次/分,心尖部可闻及Ⅳ级粗糙的收缩期杂音。右侧肢体肌力Ⅱ级。腹壁及提睾反射左侧正常,右侧消失。膝腱反射左侧正常,右侧亢进。巴彬斯基征左(-),右(+)。眼底正常。化验:血红蛋白103g/L,红细胞3.26×10~(12)/L;白
Sick child male, 9 years old. Two years of frequent fever, sore throat, with double knee pain, had been diagnosed with rheumatism in the regional hospital, without systemic treatment. 9 days ago conscious right limb numbness, two days after the slight pain, followed by paralysis of the right upper and lower limbs, no fever, headache and convulsions, palpitations, on December 19, 1981 admission. Check: body temperature 37 ℃, blood pressure 90 / 70mmHg, conscious, bilateral pupil light reaction is normal, bilateral tonsils Ⅱ ° enlargement, the surface is not smooth. Neck soft, clear breath sounds of both lungs, heart is not big, heart rate 104 beats / min, the apex can be heard and Ⅳ rough systolic murmur. Right limb muscle Ⅱ grade. Abdominal wall and cremasteric reflex left normal, right disappear. Knee tendon reflex left normal, right hyperthyroidism. Babinski levy left (-), right (+). Fundus normal. Laboratory tests: hemoglobin 103g / L, red blood cells 3.26 × 10 ~ (12) / L; white