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男性,50岁,因发热、头痛、腰痛,皮肤粘膜充血、水肿、出血,外周血呈类白血病反应、异常淋巴细胞占27%、血小板3.8万,尿蛋白+++,血肌酐3mg%。于1983年12月28日以流行性出血热入院。病程中有典型的五期经过。病程三周后(出血热复恢期)四肢远端出现对称性麻木无力。迅速向近端发展,上肢达腕部,下肢累及大腿伴感觉减退。查体:神清,颅N.S(-)两下肢肌力Ⅳ°、两上肢肌力Ⅳ°,膝反射减弱,四肢远端痛、温、触觉减退。无病理症及括约肌功能障碍。
Male, 50 years old, due to fever, headache, back pain, skin and mucous membrane congestion, edema, bleeding, peripheral blood leukemia reaction, abnormal lymphocytes accounted for 27%, platelets 38000, urinary protein +++, serum creatinine 3mg%. In December 28, 1983 to epidemic hemorrhagic fever hospitalization. There are five typical stages of the disease. Three weeks after the disease (hemorrhagic fever recovery) distal limb symmetry numbness weakness. Rapid development to the proximal, upper limb up to the wrist, lower extremity involving the thigh with hypogonadism. Physical examination: Shen Qing, cranial N.S (-) two lower limb muscle strength Ⅳ °, upper limb muscle strength Ⅳ °, knee reflex decreased, distal limb pain, warm, touch reduced. No pathology and sphincter dysfunction.