<h3><span class="15" style="mso-spacerun: 'yes'; font-family: 宋体; mso-ansi-font-weight: bold;">小兒麻痹症的症狀、診斷與病程</span></h3>
<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">小兒麻痹症（</span>Poliomyelitis<span style="font-family: 宋体;">，簡稱</span><span style="font-family: Calibri;">Polio</span><span style="font-family: 宋体;">）是一種由脊髓灰質炎病毒引起的急性傳染病。雖然全球通過疫苗接種控制了其流行，但對兒童和家長而言，瞭解其症狀、診斷方法及病程仍具有重要意義，尤其在疫苗未覆蓋或免疫不完全的人群中。</span></span>

<p class="p"><span class="16" style="mso-spacerun: 'yes'; font-family: 黑体; color: #0000ff; mso-ansi-font-weight: bold; font-size: 16.0000pt;">德國必邦</span><span class="16" style="mso-spacerun: 'yes'; font-family: 黑体; color: #0000ff; mso-ansi-font-weight: bold; font-size: 16.0000pt;"><span style="font-family: 黑体;">&ensp;</span></span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-family: 黑体;">印度神油延時噴劑金尊版</span></span><span class="15" style="font-family: Calibri; font-size: 16pt;"> </span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-family: 黑体;">俄羅斯泰坦凝膠第三代升級版</span><span style="font-family: 黑体;">&ensp;</span></span><span class="15" style="font-family: Calibri; color: #333333; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> </span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">笛夢達克羅寧黑寡婦</span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">&ensp;菱形雙效威而鋼KAMAGRA&ensp;</span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">&ensp;正品犀利士20mg</span><span class="15" style="font-family: Calibri; color: #333333; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> </span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">美國黑金</span>

<h4><span class="15" style="mso-spacerun: 'yes'; font-family: 宋体; mso-ansi-font-weight: bold;">一、症狀表現</span></h4>
<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">小兒麻痹症的症狀表現具有高度多樣性，從無症狀感染到嚴重的麻痹甚至死亡，臨床表現可分為以下幾類：</span></span>

<p class="p"><span class="15" style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; mso-ansi-font-weight: bold;"><span style="font-family: 宋体;">無症狀感染</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;">
</span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">多數感染者（約</span>70%-95%<span style="font-family: 宋体;">）不會出現明顯症狀，僅在病毒通過糞</span><span style="font-family: Calibri;">-</span><span style="font-family: 宋体;">口途徑感染腸道後產生短暫病毒排泄。這類患者通常不會被診斷，但仍可能成為病毒傳播源。</span></span>

<p class="p"><span class="15" style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; mso-ansi-font-weight: bold;"><span style="font-family: 宋体;">輕型非麻痹症狀</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;">
</span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">約</span>4%-8%<span style="font-family: 宋体;">的感染者表現為輕微的流感樣症狀，包括發熱、乏力、頭痛、咽喉痛、嘔吐及腹瀉。這些症狀通常持續數天至一周，隨後自行緩解，幾乎不留後遺症。</span></span>

<p class="p"><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">印度雙效樂威壯</span><span style="font-family: 黑体; color: #333333; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> </span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">印度神油延時噴劑金尊版</span><span style="font-family: 黑体; color: #333333; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> </span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">正品香港老中醫</span><span style="font-family: 黑体; color: #333333; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> </span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-family: 黑体;">加拿大進口</span><span style="font-family: 黑体;">VIMAX增大丸</span></span><span class="16" style="font-family: Calibri; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> </span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> <span style="font-family: 黑体;">女用美國</span><span style="font-family: 黑体;">key</span></span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> <span style="font-family: 黑体;">德國黑螞蟻</span></span><span style="font-family: 黑体; color: #333333; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> </span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-family: 黑体;">超級雙效樂威壯</span><span style="font-family: 黑体;">Levifil</span></span>

<p class="p"><span class="15" style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; mso-ansi-font-weight: bold;"><span style="font-family: 宋体;">非典型神經症狀</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;">
</span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">部分患者可能出現輕度的肌肉酸痛、頸部僵硬、背痛或四肢不適，屬於前驅期症狀，提示病毒可能侵入中樞神經系統。</span></span>

<p class="p"><span class="15" style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; mso-ansi-font-weight: bold;"><span style="font-family: 宋体;">麻痹型小兒麻痹症</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;">
</span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">最嚴重的病例（約</span>1%<span style="font-family: 宋体;">）會發展為麻痹型小兒麻痹症。病毒攻擊脊髓前角的運動神經元，導致肌肉無力甚至癱瘓。麻痹通常是單側或不對稱的，下肢最常受累，但也可能累及上肢、胸肌或呼吸肌。麻痹在感染後數天至兩周內出現，呈突然發作的特點，部分患者可能發展為呼吸衰竭，需要緊急醫療干預。</span></span>

<h4><span class="15" style="mso-spacerun: 'yes'; font-family: 宋体; mso-ansi-font-weight: bold;">二、診斷方法</span></h4>
<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">小兒麻痹症的診斷主要依靠臨床症狀結合實驗室檢查：</span></span>

<p class="p"><span class="15" style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; mso-ansi-font-weight: bold;"><span style="font-family: 宋体;">臨床診斷</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;">
</span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">醫生會根據典型症狀進行初步判斷，包括：</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">突發性肌肉無力或麻痹</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">麻痹呈不對稱分佈</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">伴有發熱、咽痛或消化道症狀的前驅期</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">脊柱或關節疼痛伴隨運動障礙</span></span>

<p class="p"><span class="15" style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; mso-ansi-font-weight: bold;"><span style="font-family: 宋体;">實驗室檢測</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;">
</span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">為了確認診斷，需要進行病毒學或血清學檢查：</span></span>

<p class="p"><span class="15" style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; mso-ansi-font-weight: bold;"><span style="font-family: 宋体;">糞便標本檢測</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">：脊髓灰質炎病毒在感染初期可通過糞便排出，是病毒監測的金標準。</span></span>

<p class="p"><span class="15" style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; mso-ansi-font-weight: bold;"><span style="font-family: 宋体;">咽拭子</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">：可檢測病毒存在，但排毒期較短。</span></span>

<p class="p"><span class="15" style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; mso-ansi-font-weight: bold;"><span style="font-family: 宋体;">血清抗體檢測</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">：用於判斷是否有免疫力或既往感染史。</span></span>

<p class="p"><span class="15" style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; mso-ansi-font-weight: bold;"><span style="font-family: 宋体;">影像學輔助</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;">
</span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">對於麻痹型病例，可通過磁共振成像（</span>MRI<span style="font-family: 宋体;">）觀察脊髓灰質損傷情況，幫助評估受累神經和病程嚴重程度。</span></span>

<p class="p"><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-family: 黑体;">正品香港老中醫</span></span><span class="16" style="font-family: Calibri; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> </span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-family: 黑体;">印度純進口正品必利勁</span><span style="font-family: 黑体;">Priligy(POXET-60)</span></span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">GOODMAN陰莖增大丸goodman</span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-family: 黑体;">美國犀利士</span><span style="font-family: 黑体;">Cialis原裝進口速效助勃</span></span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">金鑽超級艾力達雙效片</span><span style="font-family: 黑体; color: #333333; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> </span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-family: 黑体;">德國紅魔威格拉（</span><span style="font-family: 黑体;">VIGORA ）</span></span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-family: 黑体;">水果味口溶錠威</span> <span style="font-family: 黑体;">100mg </span></span>

<p class="MsoNormal"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 10.5000pt; mso-font-kerning: 1.0000pt;"> </span>