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接种狂犬病疫苗后致脑脊髓炎,在临床中很少见,发病率约为1/2000,现将我院收治的1例介绍如下。 1 病例介绍 患儿,男,4岁,于1993年6月17日入院。患儿于3周前被自家狗将面部咬伤,随即接种狂犬病疫苗,先后接种4次后出现发烧、头痛、频繁呕吐呈喷射状,继而出现拒食、嗜睡、排尿困难等症状,门诊以“上感”收入我院治疗。查体:T:39.6℃,呈急性热病容;R:40次/分,咽部充血;P:140次/分第一心音稍低钝,共济失调,双侧腹壁反射上、中、下对称消失,左侧提睾反射减弱,双侧膝腱反射未引出,脑膜刺激征(+),意识清。 辅助检查:wbc增高,分叶偏高 EEG
After vaccination rabies vaccine encephalomyelitis, is rarely seen in clinical, the incidence rate of about 1/2000, 1 case admitted to our hospital are described below. 1 case description Children, male, 4 years old, was admitted on June 17, 1993. Children were bitten by their own dogs 3 weeks prior to vaccination. Rabies vaccines were vaccinated four times and fever, headache and frequent vomiting were sprayed, which led to such symptoms as antifeeding, drowsiness and dysuria. Sense "income in our hospital treatment. Examination: T: 39.6 ℃, was acute fever capacity; R: 40 beats / min, throat congestion; P: 140 beats / min first heart sound blunted, ataxia, bilateral abdominal wall reflex, Symmetry disappeared, the left side of the testicular reflex decreased bilateral knee tendon reflex did not lead, meningeal irritation sign (+), clear consciousness. Auxiliary examination: wbc increased, high segmented leaves EEG