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我院1977年1月至1983年8月收治破伤风79例(不包括新生儿破伤风28例),病死率为15.2％。本文就诊断、治疗及预后估计的一些问题作一讨论。 临床资料 一、一般情况:男50例,女29例;年龄2—69岁;除1例外均为农村病员。 二、分型:以有无阵发性全身肌肉抽搐及对呼吸有无严重影响作为主要指标。 (一)轻型:有牙关紧闭、苦笑面容、颈项强直,全身肌肉酸痛及小抽搐,无阵发性抽搐及角弓反张,共12例,占15.2％。 (二)中型:除上述表现外,有明显阵发性抽搐及角弓反张,共44例,占55.7％。
In our hospital from January 1977 to August 1983, 79 cases of tetanus (excluding 28 cases of neonatal tetanus), the case fatality rate was 15.2%. This article discusses the diagnosis, treatment and prognosis of some of the issues to be discussed. Clinical data First, the general situation: 50 males and 29 females; aged 2-69 years; all except 1 exception were rural patients. Second, the type: with or without paroxysmal generalized muscle twitch and respiratory no serious impact as the main indicators. (A) light: There are closed teeth, smile face, stiff neck, muscle soreness and convulsions, paroxysmal convulsions and angle arch anti-Zhang, a total of 12 cases, accounting for 15.2%. (B) medium: In addition to the above performance, there were obvious paroxysmal convulsions and angle arch anti-Zhang, a total of 44 cases, accounting for 55.7%.