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患儿女,2岁4个月。发热40天,体温37.5～39.5℃。双下肢活动障碍伴尿便失禁35天。曾在某医院腰穿化验脑脊液呈脓液,涂片发现革兰染色阴性双球菌,按流行性脑脊髓膜炎给予青霉素、氯霉素、氨苄青霉素治疗20余天无好转。后又到某医院按脑炎后遗症治疗10天仍无效,转入我院。体检:体温39℃,神志清,精神好。双下肢不能站立。心肺无异常。腹壁反射存在,双下肢触觉减退,肌力Ⅳ级。肌张力正常,肛门括约肌松弛。病理反射未
Children with children, 2 years and 4 months. Fever 40 days, body temperature 37.5 ~ 39.5 ℃. Lower extremity dysfunction with urinary incontinence 35 days. Was in a hospital lumbar puncture cerebrospinal fluid showed pus, smear found Gram stain negative diplococcus, meningitis by epidemic meningitis penicillin, chloramphenicol, ampicillin treatment for more than 20 days without improvement. After going to a hospital according to encephalitis sequelae treatment is still invalid for 10 days, transferred to our hospital. Physical examination: body temperature 39 ℃, clear mind, good spirit. Double lower limbs can not stand. No abnormal heart and lung. Abdominal wall reflex exists, both lower extremity haptic decline, muscle strength Ⅳ. Muscle tension normal, anal sphincter relaxation. Pathological reflex is not