论文部分内容阅读
我市10年来发生1000余例流行性出血热(EHF),经随访发现多发性神经炎15例。与EHF轻重无明显关系。15例中,男性7例,女8例;年龄17岁～49岁,危重型EHF251例中8例;轻型中7例。EHF后多发性神经炎主要临床特点:①起病缓慢,先有运动障碍,感觉障碍出现较迟;②上肢出现症状比下肢早,而且也重,基本是运动障碍比感觉障碍重,远端比近端重;③四肢远端伸屈肌,内收肌都有损害,无明显的肌肉萎缩现象;④运动神经损害,先是四肢无力,然后出现运动障碍,以双上肢为明显,15例中只有4例轻度垂腕,写字笨拙,手指不能并拢,生活自理困难;⑤感觉神经损害,起病缓慢,先出现足趾和手指麻木、酸痛、刺痛等感觉异常。四肢远端感觉减退或消失,呈手套袜套样分布,
Over 1000 cases of epidemic hemorrhagic fever (EHF) occurred in our city over the past 10 years. 15 cases of polyneuritis were found after follow-up. No significant relationship with the severity of EHF. In 15 cases, there were 7 males and 8 females, aged from 17 to 49 years old, 8 cases of critically ill EHF in 25 cases and 7 cases of mild cases. EHF main clinical features of polyneuritis: ① onset slow, first movement disorders, sensory disturbances later; ② upper limb symptoms than the lower limb early, but also heavy, the basic movement disorder than the sensory disturbance, the distal ratio Near the end of heavy; ③ extremity extensor flexor muscles, adductor muscle damage, no obvious muscle atrophy; ④ motor nerve damage, first limb weakness, and then dyskinesias, with both upper extremities as obvious, only 15 cases 4 cases of mild vertical wrist, clumsy writing, fingers can not be close together, difficult to take care of themselves; ⑤ sensory nerve damage, onset of slowness, first toes and fingers numbness, soreness, tingling and other sensory abnormalities. Extremities feel diminished or disappeared, were glove-like socks-like distribution,