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患者男性,22岁,1990年6月17日因头痛、乏力、张口困难、牙关紧闭、全身阵发性抽搐1天住院。发病前5天在本单位卫生所曾用95%酒精注射治疗腋臭致局部感染。既往否认有破伤风类毒素和抗毒素注射史。查体:神志清,苦笑面容,颈项强直,四肢肌肉平均每5~10分钟抽搐一次,尤以右上肢肌肉明显,呈屈时位。搬动时,右上肢和全身痉挛,呈角弓反张。右腋下注射部位有0.1cm×0.2cm 感染灶,有脓性分泌物溢出。周围发红、
Male patient, 22 years old, June 17, 1990 due to headache, fatigue, mouth opening difficulties, teeth closed, the whole body paroxysmal convulsions 1 day hospitalization. Five days before the onset of illness in this unit have used 95% alcohol injection of underarm odor caused by local infection. Previously deny the history of tetanus toxoid and antitoxin injections. Physical examination: Consciousness, smile face, stiff neck, limbs and muscles on average every 5 to 10 minutes convulsions, especially in the right upper limb muscle obvious, when the flexion. When moving, the right upper extremity and body spasms, angular bow reversed. Right axillary injection site has 0.1cm × 0.2cm foci, purulent discharge overflow. Around redness,