病例男,2 1/2岁,住院号17,325,1981年4月24日入院。患儿于4月21日开始无特别原因而多哭,晚上发热,发音低沉、沙哑,尿频、尿急、排尿不畅,尿色偏黄,胃纳减少,曾恶心、呕吐胃内容物,经当地卫生站治疗,病情未见好转,至起病第3天晚上,表现烦躁不安,用手乱指,乱语,呈惊恐状,整夜不眠,甚至咬破自己舌头。次日赴当地卫生院诊治,曾腰穿作脑脊液检查,结果正常,疑狂犬病,用大量镇静药后转来本院。多次追索,一向身体健康,无狗咬历史,但2个月前右下肢外踝后曾被单车擦伤,感染多时(现伤口已愈)。常与狗接触,不能除外被舔。从未接受过狂犬疫苗注射。入院当时T39.5℃,神智清,检查合作,呼吸平顺,喜饮水,且吞咽正常。但 Male patient, 2 1/2 years old, hospitalized 17,325, admitted to hospital on April 24, 1981. The children started to cry for no particular reason on April 21, fever at night, low pronunciation, hoarseness, frequent urination, urinary urgency, poor urination, dark urine yellow, decreased appetite, nausea and vomiting of gastric contents. Local health station treatment, the condition did not improve, to the onset of the third night, the performance irritability, chaos fingers, disorder, was panic-like, sleepless nights, and even bite his tongue. The next day went to the local hospital for treatment, had lumbar puncture for cerebrospinal fluid examination, the results of normal, suspected rabies, with a large number of sedatives transferred to the hospital. Repeatedly chase, has always been healthy, no history of dog bites, but right lower extremity malleolus 2 months ago had been bicycle scratches, infection for a long time (now wounds have been more). Often contact with dogs, can not be licked. Rabies vaccination has never been accepted. At admission was T39.5 ℃, Shenzhi Qing, check cooperation, smooth breathing, hi drinking water, and swallowing normal. but