Acute poliomyelitis; a clinical and statistical study of 263 cases.

摘要: Summary Poliomyelitis knows no limitation of age, sex, or race. The term “infantile paralysis” should be discarded in the light present knowledge. Increased physician awareness disease and more frequent recourse to lumbar puncture suspected cases have contributed apparent increase incidence as well its shift toward older age groups. We reported on our experiencesin 1950 epidemic reviewed 263 studied at height epidemic. More than 25 per cent were nonparalytic, 22.7 bulbar type, 50.4 spinal type. over-all mortality rate was 8 cent. Symptomatology, sex ratios, figures general agreement with those other epidemics. Study fluid findings offered prognostic guide extent paralytic involvement. It assumed only a diagnostic confirmatory role most instances. About 5 patients showed pleocytosis increased protein values hospital admission. Similarly length severity prodromal symptoms had bearing ultimate outcome disease. virulence variedfrom month emphasized. A plan treatment major types given. cause death poliomyelitiswas generally result exact mechanism is controversial. emphasized importance pulmonary angiospasm this an explanation for underlying death. Tracheotomy value when there tracheobronchial obstruction. This not poliomyelitis. In addition use vasodilator drugs, notably Priscoline, has been cited vasospastic phenomena