The sequelae of polio are a highly prevalent disease in my country and are relatively common in pediatrics. Once contracted, it will have a serious impact on the life of the child. If the polio examination method is not combined early, the patient's condition may not be discovered in time. Therefore, parents must understand the examination methods for polio so that the children can receive treatment as soon as possible. Let's take a look at the neurological examination methods for polio. 1. Peripheral blood picture: Most white blood cells are normal, but may increase in the early stage and during secondary infection, mainly neutrophils, and the erythrocyte sedimentation rate increases in the acute phase. Therefore, this is the examination method for the sequelae of poliomyelitis. 2. Virus isolation or antigen detection: Within one week of onset, the virus can be isolated from the nasopharynx and feces, and the feces can remain positive for 2 to 3 weeks. Early isolation of the virus from blood or cerebrospinal fluid is more significant. Tissue culture isolation is generally used. In recent years, PCR has been used to detect enterovirus RNA, which is faster and more sensitive than tissue culture. This type of polio test is relatively common. 3. Hydrocephalus: Most of them are abnormal before paralysis. The appearance is slightly turbid, the pressure is slightly increased, the number of cells is slightly increased (25-500/mm3), neutrophils are more in the early stage, and mononuclear cells are mainly in the later stage. After the fever subsides, it quickly returns to normal. Sugar may increase slightly, chloride is mostly normal, protein increases slightly, and lasts for a long time. In a few patients, the cerebrospinal fluid may always be normal. This is also one of the examination items for sequelae of poliomyelitis. We hope that through everyone's in-depth understanding of the neurological examination methods for polio, we can provide patients with more help. |
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