破伤风的发病率逐年降低,最近已成为罕见疾病。不少医师从未见过破伤风,因而近来下列情况有所增加:破伤风病例至死未能作出诊断;因诊断不及时贻误治疗而致死。本文对导致诊断困难的因素及诊断时的注意点加以阐述。 The incidence of tetanus decreased year by year, has recently become a rare disease. Many physicians have never seen tetanus before, which has led to an increase in the number of recent cases of tetanus: failure to make a diagnosis as a result of death; death due to improper diagnosis and delay of treatment. This article describes the factors that lead to the diagnosis of difficulty and points of attention when diagnosing.