患者男、53岁、已婚。主诉四肢无力三天。该患于发病前46天、16天二次接种乙肝疫苗。当时无不良反应。发病当天晨起时四肢无力、尚能行走、饮食能自理,第二天起床不能,生活不能自理,尿便正常。无头痛、头晕、无恶心。发病前工作生活正常,近一月內未有感冒、腹泻及咽痛病史。无肝炎病史。 Male patient, 53 years old, married. Prone to limbs weakness for three days. The affected 46 days before the onset of 16 days of secondary vaccination of hepatitis B vaccine. At that time no adverse reactions. The onset of the morning when the limbs weakness, still able to walk, diet can take care of themselves, the next day can not get up, life can not take care of themselves, urine will be normal. No headache, dizziness, no nausea. Before the onset of normal working life, no cold, diarrhea and sore throat history within a month. No history of hepatitis.