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急性感染性多发性神经炎,近年来发病率明显增加,但对其特殊型的报导极少,现将我们收治的几种特殊型急性感染性多发性神经炎报告如下。一、颅神经型男,20岁,患者于1982年4月18日感觉说话不清,翌日舌根发硬,咽下困难,饮水呛,手脚麻木,病情逐渐加重收我科住院。检查:体温36.6℃,血压110/80mmHg,脉搏98次/分。神志清晰,说话鼻音,右面神经核下瘫,软腭运动差,咽反射迟钝,四肢运动、感觉、反射正常。无病理反射与脑膜刺激征。血白细胞8,800,发病后第8天腰穿,脑脊液细胞10/mm~3,蛋白20mg％。胸透、肝功正常。脑电图广泛轻度异常。诊断为颅神经型急性感染
Acute infectious polyneuritis, the incidence in recent years increased significantly, but very few reports of its special type, now we have admitted to several of the special type of acute infectious polyneuritis reported below. First, the cranial nerve type male, 20 years old, the patient felt unclear on April 18, 1982, the next day the tongue root hard, swallowing difficulties, drinking choking, numb hands and feet, the condition gradually increased to receive our hospitalization. Check: body temperature 36.6 ℃, blood pressure 110 / 80mmHg, pulse 98 beats / min. Consciousness, nasal tone, right paralysis of the nucleus, weak palate movement, slow pharyngeal reflex, limb movement, feeling, reflex normal. No pathological reflex and meningeal irritation. Blood white blood cells 8,800, on the 8th day after onset of lumbar puncture, cerebrospinal fluid cells 10 / mm ~ 3, protein 20mg%. Chest throat, normal liver function. EEG extensive mild abnormalities. Diagnosis of cranial nerve type acute infection