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去年,在美洲首次发现急性出血性结膜炎(AHC)的大流行。Kono 等报告:1981年印度的病例是由肠道病毒70型(EV_(70))引起的。在美国已从病人眼睛里分离出 EV(70)。在1972年印度的大流行中,Wadia 等已经注意到在结膜炎之后,有少数病人接着发生下肢的急性下运动神经元瘫痪。1981年在印度的大流行中,有许多病人发生瘫痪,然而仍有人怀疑这种神经系统综合征的特异性。在印度患者的血清和脑脊液中发现高效价的 EV_(70)中和抗体。目前已很清楚本病是由一种主要侵犯眼睛的 EV_(70)所引起的,神经系统受累的发病率为1/10,000~15,000。
Last year, the first pandemic of acute hemorrhagic conjunctivitis (AHC) was discovered in the Americas. Kono et al. Reported that the case of India in 1981 was caused by enterovirus type 70 (EV_ (70)). In the United States, EVs have been separated from the patient’s eyes (70). In the 1972 Indian pandemic, Wadia et al. Had noticed that a small number of patients subsequently developed paralysis of acute lower motor neurons of the lower extremities after conjunctivitis. Many patients were paralyzed in a pandemic in India in 1981, while others still doubt the specificity of the neurological syndrome. High titer EV 70 neutralizing antibodies were found in serum and cerebrospinal fluid of Indian patients. It is now clear that the disease is caused by a major EV_ (70) that affects the eyes, with a neurological involvement rate of 1 in 10,000 to 15,000.