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患者男,34岁。1988年5月19日晨3时起床小便时感四肢无力,下肢为甚,逐渐加重。2小时后出现胸闷、呼吸困难,于8时来院求诊。2日前有“上感”史,否认类似发作史及家族史。查体:T36℃,P108次/分,R40次/分,BP24/9.3kpa。双肺呼吸音清,HR108次/分,律齐,无杂音。腹部(—)。颅神经(—),双上肢肌力Ⅲ级,双下肢0级,双侧腱反射对称性减弱。未引出病理反射。深浅感觉正常。心电图示窦性心动过速,非特异性 ST—T 改变。WBC14.8×10~9/L,N92%,L6%,M2%。初步诊断为格林—
Patient male, 34 years old. On May 19, 1988, when I got up at 3 am, I felt weakness, lower extremities, gradually getting worse. 2 hours after the chest tightness, difficulty breathing, at 8:00 to hospital. 2 days ago, “the sense of” history, denied a similar history of attack and family history. Physical examination: T36 ℃, P108 times / min, R40 beats / min, BP24 / 9.3kpa. Respiratory sound clear lungs, HR108 times / min, law Qi, no noise. abdomen(-). Cranial nerve (-), upper extremity muscle strength Ⅲ, double lower extremity 0, bilateral tendon reflex symmetry weakened. Did not lead to pathological reflex. Shades feel normal. Electrocardiogram shows sinus tachycardia, non-specific ST-T changes. WBC14.8 × 10 ~ 9 / L, N92%, L6%, M2%. Initial diagnosis of Green -