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患儿,女,1(6/12)岁。生长发育正常,1岁会独走。按期接种脊髓灰质炎疫苗。既往史及家族史无特殊。 1990年1月1日突起高热,体温39.8℃,持续不退,当日腹泻蛋花汤样大便3次。次日腹泻停止,但声、足背及指趾出现硬性浮肿和红斑,哭闹不安。第5日逐渐退热,但家长发现患儿左下肢无力,跛行,右手不能抬举及持物,手足硬肿加重。第9日门诊检查左下肢肌力Ⅳ度,肌张力减弱,对侧正常。双下肢皮肤感觉存在,关节无异常。右上肢活动受限。
Children, female, 1 (6/12) years old. Growth and development of normal, 1-year-old will go alone. Regular polio vaccination. Past history and family history is no special. January 1, 1990 Protracted fever, body temperature 39.8 ℃, sustained remission, the day diarrhea egg-shaped soup stool 3 times. Diarrhea the next day to stop, but sound, dorsal and toe appear hard edema and erythema, crying uneasy. Day 5 gradually fever, but parents found that children with left lower extremity weakness, limp, right hand can not lift and holding objects, hand and foot sclerosis worsened. On the 9th day outpatient examination of left lower limb muscle strength Ⅳ degree, muscle tension weakened, contralateral normal. Double lower extremity skin feel there is no abnormal joints. Right upper extremity activity is limited.