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患者男26岁,一周前无明显诱因全身乏力及轻度腹泻。入院前二日逐渐四肢无力,走路困难,生活不能自理。1977年8月29日入院。检查:体温、血压、心肺、神经系统无异常发现,意识清,精神尚好,四肢肌力Ⅱ-Ⅲ级,肌张力低,上肢腱反射弱,下肢腱反射消失,未引出病理征。一周后腰穿有蛋白细胞分离相。诊断急性感染性多发性神经炎(脊神经型)。静脉滴注氢化可地松,开始每日200毫克,一周后减至100毫克,用药半月病情明显好转。出院后又继续口服强的松每日15毫克,用药60天。1978年4月活动时左髋关节、膝关节疼痛并逐渐加重,跛行,下蹲时髋关节格格作响,外院考虑风湿性关节炎及神经炎后遗症,又嘱服强的松15
The patient was 26 years old and had no obvious cause of malaise and mild diarrhea a week ago. Two days before admission, he gradually became weak and unable to walk independently. August 29, 1977 admission. Check: body temperature, blood pressure, heart and lungs, no abnormalities of the nervous system, consciousness, good spirit, limb muscle strength Ⅱ-Ⅲ level, low muscle tension, upper limb tendon reflex, lower extremity tendon reflex disappeared, did not lead to pathological sign. A week after the waist wearing a protein cell separation phase. Diagnosis of acute infectious polyneuritis (spinal nerve type). Hydrocortisone intravenous infusion, began 200 mg daily, reduced to 100 mg one week later, medication half-moon condition improved significantly. After discharge and continue oral prednisone 15 mg daily for 60 days. In April 1978 activities left hip, knee pain and gradually aggravated, claudication, hip dysfunction during squatting, the hospital considered rheumatoid arthritis and neuritis sequelae, and ordered a strong prednisone 15