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笔者见到一例散发性脑炎,其临床表现颇似糖尿病昏迷,现报告如下。单××,男,46岁,工人。因左小腿外伤性骨折一个月,近日患处疼痛、畸形愈合于1981年4月26日入外科行矫形手术。既往否认高血压史及糖尿病史,近期无明显上感史。无癫癎史。入院检查:意识清,活动自如。体温37.0℃,脉搏86次/分、血压126/80毫米汞柱。发育正常,营养中等,心肺无异常,肝脾不大。神经系检查无异常。左膝内翻、腓肠肌内侧皮下略肿胀、无破溃、局部压痛。血、尿、便常规检查均正常,尿糖阴性。X线片为左胫腓骨骨折,侧位片对位2/3嵌入,无骨痂形成。入院后第三天骨科手术,经过顺利。术后第二天体温39℃,烦躁、意识混浊,第三天出现抽搐,呈较频数的去脑强直样发作,时有呕吐。颅
I saw an example of sporadic encephalitis, its clinical manifestations of diabetic coma, are as follows. Single × ×, male, 46 years old, worker. Due to left leg traumatic fracture for a month, the recent pain in the affected area, malunion healed in April 26, 1981 into the surgical line orthopedic surgery. Previously denied the history of hypertension and diabetes history, no recent history of flu. No history of epilepsy. Admission examination: consciousness, activities freely. Body temperature 37.0 ℃, pulse 86 beats / min, blood pressure 126/80 mm Hg. Normal development, moderate nutrition, no abnormal heart and lung, liver and spleen is not. Nervous examination no abnormalities. Left knee varus, medial gastrocnemius slightly swollen skin, no ulceration, local tenderness. Blood, urine, routine examination are normal, negative urine. X-ray film for the left tibiofibular fractures, lateral radiographs 2/3 embedded, no callus formation. On the third day after admission, orthopedic surgery went through smoothly. Body temperature 39 ℃ the second day after surgery, irritability, confusion, the third day of convulsions, showed a more frequent tetanic and strong episodes, sometimes vomiting. skull