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钩端螺旋体病(下称钩体病)是一种常见的流行病。它引起的儿童脑血管病在我省报道尚少。我院1979收治4例儿童脑血管钩端螺旋体病,报道如下。临床资料及分型患儿3岁1例,7岁1例,9岁2例,均为男性,住在农村。于夏秋季呈散在发病,查明猪是主要传染源。患儿都有下田、玩水与病猪及病猪的粪尿接触史。临床表现以肢体瘫痪和失语为突出症状,还伴有头痛、呕吐、肢体麻木、一侧身体感觉障碍。严重者大小便失禁,后期出现假性延髓麻痹、吞咽障碍、流涎、声哑、发音困难、表情呆滞、强哭、强笑等.本组4例起病可分以下三型:一、急起型(2例):突然出现偏瘫,于48小内时症状达顶峰。
Leptospirosis (leptospirosis) is a common epidemic. It caused children’s cerebrovascular disease reported in our province is still small. 1979 admitted to our hospital in 4 cases of children with cerebral blood leptospirosis, reported as follows. Clinical data and classification of children 3 years old in 1 case, 7 years old in 1 case, 9 years old in 2 cases, both men, living in rural areas. In summer and autumn were scattered in the incidence of pigs identified as the main source of infection. Children have children under the fields, play with water and sick pigs and pig urine contact history. Clinical manifestations of limb paralysis and aphasia as the prominent symptoms, but also accompanied by headache, vomiting, numbness, one side of the body sensory disturbances. Severe incontinence, postponed pseudobulbar paralysis, dysphagia, salivation, dumbness, dysphonia, dull expression, strong cry, strong laugh, etc. The group of 4 cases of onset can be divided into the following three types: First, the rapid rise Type 2 (2 cases): Sudden hemiplegia, the symptoms reached its peak in 48 hours.