患者,男21岁,发病前体质健壮,为农村采石青年,一周前出现腹泻,呕吐、未用药,三天后症状加重,出现肢体活动无力,走路跌跤,在当地以“胃肠炎”静点庆大霉素4天,不见好转,患者下肢出现对称性、弛缓性瘫痪,第7日上午10时以“急性胃肠炎”转入我院,患者处于休克状态,皮肤苍白,四肢冰凉、潮湿、脉 The patient, male, 21 years old, before the onset of physical fitness, for the rural quarrying, diarrhea, vomiting a week ago, no medication, three days later, aggravated symptoms, limb weakness, walking falls, in the local “gastroenteritis” Gentamicin for 4 days, did not improve, the lower limb symmetry appeared, flaccid paralysis, at 10:00 on the 7th to “acute gastroenteritis” transferred to our hospital, the patient was in shock, pale skin, limbs cold and wet ,pulse