近年来,据国内外文献报告,有一种麻痹型的狂犬病。此型极为少见,其临床表现酷似脑炎或急性感染性多发性神经根炎等神经系统病症。在临床工作中,极易误诊而延误治疗,现报告3例如下。例1.男,14岁。因肢体活动不良3天入院。35天前,右手食指被狗咬伤,25天后,四肢麻木、疼痛、发热、头晕、恶心、呕吐、四肢驰缓性瘫痪。体检:体温37℃,意识朦胧,咽反射弱,查咽部时有痉挛现象,四肢肌力0级,深浅反射消失,右食指有伤痕。 In recent years, according to domestic and foreign literature reports, there is a paralytic rabies. This type is extremely rare, its clinical manifestations resemble encephalitis or acute infectious multiple nerve root inflammation and other nervous system disorders. In clinical work, easily misdiagnosed and delayed treatment, the report is now 3 cases as follows. Example 1. Male, 14 years old. Adverse physical activity due to 3 days admission. 35 days ago, his right index finger was bitten by a dog. After 25 days, his limbs were numb, with pain, fever, dizziness, nausea and vomiting. His limbs were slowly paralyzed. Physical examination: body temperature 37 ℃, confusion, pharyngeal reflex, check the pharyngeal spasm, limb muscle strength 0, the depth of reflex disappeared, the right index finger injuries.