小儿单侧下肢急性跛行（弛缓性麻痹）临床分析

The young child one--sided lower limb acute limps （relaxes paralysis） the clinical anaIysis

目的：探讨分析小儿单侧下肢急性跛行（弛缓性麻痹）的临床特点及诊疗。方法：全部病例进行AFP（急性弛缓性麻痹）疫报筛查，分析总结临床特点并注意与其它相关疾病鉴别，采用综合治疗，进行疗效判断。结果：小儿单侧下肢急性跛行（弛缓性麻痹）幼儿多见，病前大部分有呼吸道或肠道病毒感染，麻痹程度轻，多表现为急性脊髓灰质炎综合征。排除5例其它种类疾病外，其余病例治疗后全部完全康复，平均疗程7—10天。结论：小儿单侧下肢急性跛行绝大部分系短暂性肢体麻痹，发病主要与非脊髓灰质炎病毒感染后损害脊髓前角运动细胞有关；麻痹程度轻，呈自限性；幼儿多见，与神经系统、免疫系统发育不完善有关；未经治疗，有长达一个多月不愈者；综合治疗多数于7—10天康复。

Objective： Make a discussion on the clinical characteristics and diagnostic and therapeutic method of the acute claudica- tion（acute flaccid paralysis AFP） of unilateral low limb in children. Method： Make a screening for all the AFP infectious disease re- ports to analyze and to summarize the clinical characteristics of this disease, and especially, to differentiate it from other relevant diseases. Determine the curative effect through combined therapy. Result：The acute claudication （actue flaccid paralysis AFP） of u- nilateral low limb in children is more common in young children who had infected by respiratory tract virus or enterovirus, and para- lyzed at a lower degree, mainly display acute poliomyelitis syndrome. All these cases, except 5 accompanied by other kinds of disea- ses, are completely rehabilitated. The average course of treatment is 7 to 10 days. Conclusion：Most cases of acute claudication of u- nilateral low limb in children belong to temporal limb paralysis, mainly display acute poliomyelitis syndrome, caused hy non--polio- virus infection, which damages the spinal cord anterior horn motor cells. Patients are common in young children, paralyzed at a low level, self limited and associated with hypoplasia in nervous or immune system. Most patients have recovered after combined thera- py courses of 7 to 10 days.