最近审阅: 25 十月 2020
最近更新: 26 六月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 无免疫接种状态
  • 在流行地区居住或旅行
  • 患肢的肌紧张和运动功能减弱
  • 患肢的腱反射减弱
  • 患肢肌萎缩

其他诊断因素

  • 年龄 <36 个月
  • 胃肠道前驱症状
  • 发热
  • 不适感
  • 呼吸肌萎缩和呼吸窘迫

危险因素

  • 未接种疫苗
  • 卫生环境差
  • 贫穷
  • 地方性传染地区
  • 免疫抑制

诊断性检查

需考虑的检查

  • 粪便、脑脊液或咽喉拭子病毒培养
  • 脑脊液 (CSF) 分析
  • 脊髓灰质炎病毒的血清抗体
  • 脊髓磁共振成像
  • 患肢的脊髓电图 (EMG)
更多 需考虑的检查

治疗流程

撰稿人

Omar A. Khan

President and CEO

Delaware Health Sciences Alliance

Physician Leader, Partnerships & Academic Programs

Christiana Care Health System

Associate Professor

Department of Family & Community Medicine

Sidney Kimmel Medical College of Thomas Jefferson University

Newark

DE

利益声明

OAK is an author of a number of references cited in this topic.

Professor of Infectious Disease Epidemiology

London School of Hygiene and Tropical Medicine

University of London

Head

Centre on Global Health Security - Chatham House

London

UK

利益声明

DLH is an author of a number of references cited in this topic.

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Assistant Clinical Professor

Jefferson Medical College

Philadelphia

PA

利益声明

JMG declares that he has no competing interests.

The Nordin M. Thobani Professor and Chairman

Department of Community Health Sciences

Aga Khan University

Karachi

Pakistan

利益声明

GP declares that he has no competing interests.

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