Rekand T, Aarli J A, Langeland N
Nevrologisk avdeling, Haukeland Sykehus, Bergen.
Tidsskr Nor Laegeforen. 1997 Feb 10;117(4):494-7.
The last epidemic outbreak of poliomyelitis in Norway lasted from 1950 to 1954. The article describes the occurrence of poliomyelitis in Western Norway on the basis of 243 medical records from this period. The epidemic reached its peak in Western Norway in 1952, while the highest number of new cases of poliomyelitis in Norway as a whole occurred in 1951. We found equal representation of both sexes. Most cases were recorded in late summer and autumn. Most patients (96%) had general symptoms, most frequently headache. The fever was moderate. Meningeal irritation (neck stiffness) was recorded in 56% of the cases. The most frequent neurological symptom was asymmetric limb paralysis. 6% of the patients died. High fever, extensive paralysis and inadequate respiration had a negative effect on the prognosis. 57 patients had aparalytic poliomyelitis and were hospitalized for a short time.
挪威上一次脊髓灰质炎疫情爆发于1950年至1954年。本文基于该时期的243份病历描述了挪威西部脊髓灰质炎的发病情况。疫情于1952年在挪威西部达到高峰,而整个挪威脊髓灰质炎新发病例数最多的年份是1951年。我们发现男女发病率相同。大多数病例记录于夏末和秋季。大多数患者(96%)有全身症状,最常见的是头痛。发热程度为中度。56%的病例有脑膜刺激征(颈部僵硬)。最常见的神经症状是不对称肢体麻痹。6%的患者死亡。高热、广泛麻痹和呼吸不足对预后有负面影响。57名患者患有无瘫痪型脊髓灰质炎,住院时间较短。