对以吞咽困难为首发症状的破伤风1例分析如下。1病历摘要女,71岁。平素体健,否认外伤史。2010-05-01无明显诱因出现吞咽困难,无误食刺、异物及食管划伤史,未予重视,后逐渐出现牙关紧闭,苦笑面容,口腔分泌物明显增多,去当地医院治疗无明显好转,2010-05-07转来我院,当时患者有烦 An analysis of 1 case of tetanus with dysphagia as the first symptom is as follows. 1 medical record summary female, 71 years old. Usually physical health, to deny the history of trauma. 2010-05-01 no obvious incentive to swallowing difficulties, no accidental spikes, foreign bodies and history of esophageal scratches, not pay attention, and gradually emerged Tight shut, smile face, oral secretions increased significantly, no significant improvement to the local hospital treatment 2010-05-07 transferred to our hospital, patients were annoying