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近年来对狂犬病的诊断、治疗和预防有了进一步的认识,现分述如下。诊断警惕不典型病例狂犬病有时很不典型,无典型恐水症,表现为上行性麻痹或脑炎等。麻痹型狂犬病(哑狂犬病)少见,多发现于由吸血蝙蝠叮咬感染和接受过狂犬病疫苗接种者。临床上可表现为急性上行性麻痹或横断性脊髓炎。此型易与其他原因引起的Landry氏急性上行性麻痹混淆。因在麻痹出现前无感觉障碍,且发热可减退,容易拟诊为脊髓灰质炎。如患者接受过狂犬病疫苗接种,又可能认为是疫苗注射引起
In recent years, rabies diagnosis, treatment and prevention have been further understanding, are as follows. Diagnostic alert atypical cases Rabies is sometimes very atypical, without typical hydrophobia, manifested as upward paralysis or encephalitis. Paralytic rabies (mink rabies) is rare and is found in rabies vaccines infected with vampire bats and bites. Clinically manifested as acute ascending paralysis or transected myelitis. This type is easily confused with Landry’s acute ascending paralysis caused by other causes. Because there is no sensory disturbance in the presence of paralysis, and fever can be reduced, easily diagnosed as polio. If the patient has been vaccinated against rabies, it may be thought to be caused by a vaccine injection