建国以来,我国脊髓灰质炎的发病数逐年下降,但1989年某些地区又出现了较大幅度的回升。在1988至1990的三年间,我们收治了13例脊髓灰质炎患儿,早期皆误诊为急性感染性多发性神经根炎(GBS)。虽未作血清学检查,但经临床观察更正诊断为脊髓灰质炎,其中11例进行了两年以上的随访。现报告如下。 1 临床资料 1.1 一般资料 13例中,男6例,女7例。年龄最小5个月,最大4岁。13例均有发热,5例有腹泻史。13例患儿均以急性弛缓性瘫痪入院,肌力0～Ⅳ级。其中双下肢瘫痪10例,四肢瘫痪3例,2例出现呼吸肌麻痹。13例患儿均有肢痛。由于患儿不合作, Since the founding of the People’s Republic of China, the incidence of poliomyelitis in our country has been declining year by year. However, some areas in 1989 saw a dramatic rebound. In the three years from 1988 to 1990, we treated 13 children with poliomyelitis and were misdiagnosed as acute infectious multiple root inflammation (GBS) in the early stages. Although not serological examination, but corrected by clinical observation of poliomyelitis, of which 11 cases were followed for more than two years. The report is as follows. 1 Clinical data 1.1 General Information 13 cases, 6 males and 7 females. The youngest 5 months, maximum 4 years old. 13 cases were fever, 5 cases had a history of diarrhea. Thirteen children admitted to hospital with acute flaccid paralysis, muscle strength 0 ~ Ⅳ grade. Among them, 10 cases were paralyzed from both lower extremities, 3 cases were paralyzed from extremities and 2 cases were paralyzed from respiratory muscles. All 13 children had limb pain. As children do not cooperate,