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病史摘要 患者,男,23岁,农民。于1991年5月20日因四肢发麻、活动不灵4个多月入院。缘于4个月前劳累后四肢麻木、酸痛,继而无力,迈步费劲,由下肢往上肢发展。无说话、吞咽障碍或呼吸困难,二便能自控。县医院治疗无好转。既往于7岁、16岁、22岁各有类似上述病征发作一次。首次于发病前曾有发热、咳嗽等不适。3次均在当地就诊,均约100天后“痊愈”。 体检:T37℃,P90坎/分,呼吸18次/分,BP14/8kPa
Summary of medical history Patients, male, 23 years old, farmer. On May 20, 1991 due to numb limbs, activities are not working for more than 4 months admitted. Due to fatigue after four months ago limb numbness, soreness, and then weakness, hard work from the lower extremities to upper limb development. No speech, swallowing or breathing difficulties, two will be able to self-control. County hospital treatment no improvement. Previously at the age of 7, 16 and 22 years old each had a similar episode. For the first time before the onset of fever, cough and other discomfort. 3 times in the local treatment, are about 100 days after “cured.” Physical examination: T37 ℃, P90 hk / min, breathing 18 beats / min, BP14 / 8kPa