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患儿男,13岁。于入院前25天无明显诱因出现低热、腹痛、腹泻、全身不适,在院外按“痢疾”治愈。3天后双眼视物模糊,前额疼痛,继之双目失明。约半月后全身疼痛,以胸背部为著,双下肢麻木,无力,不能站立,尿潴留,于1996年10月8日入院。体检:体温37.7℃,脉搏90次/分,呼吸24次/分,血压14/9kPa。发育营养正常,意识清,有时烦躁不安,颈无抵抗,双侧瞳孔直径约6mm,对光反应迟钝。眼底检查双乳头边缘清晰,色苍白,静脉迂曲,A∶V=1∶2,
Children male, 13 years old. 25 days before admission, no obvious incentive to low fever, abdominal pain, diarrhea, general malaise, according to “dysentery” cure in the hospital. After 3 days binocular vision blurred, forehead pain, followed by blindness. About half a month after the body aches, to chest and back as, both numbness, weakness, can not stand, urinary retention, admitted to hospital on October 8, 1996. Physical examination: body temperature 37.7 ℃, pulse 90 beats / min, breathing 24 beats / min, blood pressure 14 / 9kPa. Development of normal nutrition, awareness, and sometimes irritability, cervical non-resistance, bilateral pupil diameter of about 6mm, slow reaction to light. Fundus examination of double nipple edge clear, pale, vein tortuosity, A: V = 1: 2,