病例患者男,45岁。于1991年5月10日因四肢无力、排尿困难6小时入院。该患于发病前一天第三次注射乙肝疫苗后自觉头痛、头晕、恶心及全身不适,翌日晨起时四肢无力,能扶着活动,伴有排尿困难。每次注射乙肝疫苗间隔时间为1、30、150天,前2次注射均有轻度头痛、发热感。近一个月内无“感冒”,腹泻及咽痛病史。查体:T37.4, Male patient, 45 years old. On May 10, 1991 due to weakness, dysuria 6 hours admission. The patient suffered from headache, dizziness, nausea and general malaise after the third injection of the hepatitis B vaccine on the day before the onset. She was weak at the beginning of the following morning and was able to hold activities accompanied by dysuria. Each injection of hepatitis B vaccine interval of 1,30,150 days, the first two injections have mild headache, fever. Nearly a month without “cold”, history of diarrhea and sore throat. Physical examination: T37.4,