穆某,男,15岁。1993年8月13日入院。患者于10d前劳累后淋雨,4d前出现低热,继则四肢远端麻木,酸软无力,肩不能上抬,步履艰难,不能独立行走,遇冷则诸症加重。伴头晕,冷汗出,纳差。经肌注维生素B_1,B_(12),口服三磷酸腺苷,症状渐重,遂来诊入院。诊见神倦,走路不稳,舌质淡,苔白略腻,脉弦细。查体:体温37.4℃,心率80次/min,血压19/12kPa。咽部 Mumou, male, 15 years old. August 13, 1993 admission. Patients tired after 10d before the rain, 4d before the onset of fever, followed by distal limb numbness, weakness, shoulders can not be lifted, walking difficult, can not walk independently, in case of cold Zhuzeng worse. With dizziness, cold sweat, anorexia. After intramuscular injection of vitamin B_1, B_ (12), oral adenosine triphosphate, progressive symptoms, then came to the hospital. Diagnosis see God tired, walking unstable, pale tongue, white coating slightly greasy, pulse string fine. Physical examination: body temperature 37.4 ℃, heart rate 80 beats / min, blood pressure 19 / 12kPa. Pharynx