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在约旦安曼市附近一个三万居民的乡村,其用水被下水道所污染,饮水化验埃希氏大肠杆菌>16/100毫升。有五千人腹泻,74人患伤寒(血培养为沙门氏伤寒杆菌),30人患传染性肝炎。发生腹泻后第三周发现16名格林—巴利综合征,其中13人于轻度腹泻8~24天后产生周围神经病,迅速发生瘫痪。1~5天达到高潮,症状达到最重后3—7天开始恢复。有四名于一年后尚未恢复,血清及脑脊液病毒学检查(取二次标本,间隔十天)为阴性。文中指出,此综合征可能是由于对炎症、未知的抗原的变态反应及过敏。个别病例可能是由于一种未证实的病毒感染引起。既往所报导的病例的一半,
In a village of 30,000 inhabitants near Amman, Jordan, water was contaminated by sewers and tested for> 16/100 ml of Escherichia coli. There are 5,000 diarrhea, 74 people suffering from typhoid fever (Salmonella typhi Salmonella typhimurium), 30 people suffering from infectious hepatitis. In the third week after diarrhea, 16 Guillain-Barre syndromes were found, 13 of whom developed peripheral neuropathy 8 to 24 days after mild diarrhea and were rapidly paralyzed. 1 to 5 days to reach orgasm, 3-7 days after the symptoms have reached their maximum recovery. Four patients did not recover after one year. Serum and cerebrospinal fluid virulence tests (taking secondary samples at intervals of 10 days) were negative. The article pointed out that this syndrome may be due to inflammation, the unknown antigen allergy and allergy. Individual cases may be due to an unidentified virus infection. Half of the previously reported cases,