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我们曾遇到一例潜伏期长达2个半月破伤风患者,临床误诊为高血压脑病,现报道如下。患者,男,农民,于1987年3月6日以舌硬牙关稍紧,言语不清2天入院。2天前重体力劳动后感头晕、头痛,全身无力,舌头发硬,活动不灵,逐渐发展至言语不清,牙关稍紧,血压25.2/13.5kpa(194/104mmHg),诊为高血压脑病。2个半月前右侧拇指铡草时铡伤,现已脱痂愈合。有高血压病史8年。体检:体温37.5℃,脉搏80次/分,呼吸21次/分,神志清楚,舌转动不灵,发音不清,咀嚼肌较紧、张口受限,颈软,心律齐,A_2>P_2,肺部呼吸音正常,腹软,肝脾不大,无病理性反射。化验:血、
We have encountered an incubation period up to 2 and a half months tetanus patients, clinically misdiagnosed as hypertensive encephalopathy, are reported below. Patients, male and peasants, on March 6, 1987 to tongue hard tight, speechless 2 days admitted. 2 days ago heavy physical labor feeling dizzy, headache, general weakness, tongue stiff, activity is not working, and gradually developed to speechless, teeth tight, blood pressure 25.2 / 13.5kpa (194 / 104mmHg), diagnosed as hypertensive encephalopathy . 2 and a half months ago when the right thumb thumbs up, it is now off scab healing. Have a history of hypertension for 8 years. Physical examination: body temperature 37.5 ℃, pulse 80 beats / min, breathing 21 beats / min, conscious, tongue rotting, unclear pronunciation, masticatory muscle tighter, restricted mouth, neck soft, rhythm, A_2> P_2, Department of breath sounds normal, abdomen soft, liver and spleen is not large, no pathological reflex. Laboratory: blood,