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梁某某,男,6天。1985年8月5日入院。代诉:患儿频繁抽摘,伴张口困难一天入院治疗。当日上午不会吮乳,初则哭声嘶哑,继则无声,伴频繁抽搐。发作时颜面及口唇青紫,面呈若笑,牙关紧闭,并有呼吸暂停。追问其病史,曾使用不洁剪刀断脐。体温正常。诊断为新生儿破伤风。经应用西药破伤风抗毒素2.5万单位(破伤风抗毒素5千单位脐周封闭),并用青霉素抗感染,安定镇静抗痉厥,及输氧、输液等支持疗法,病情未能控制。第二天又增发热,咳嗽,喉中痰鸣,抽搐越
Liang Mou, male, 6 days. August 5, 1985 admitted. On behalf of the complaint: Children with frequent picking, with difficult mouth opening day hospital treatment. There will be no milk in the morning, and the cry will be hoarse at first, followed by silence, with frequent convulsions. When the attack occurred, the face and lips were cyanosis, the face was laughing, the jaws were tight, and there was apnea. After questioning his medical history, he used unclean scissors to break the umbilicus. Normal body temperature. Neonatal tetanus was diagnosed. After the application of western medicine tetanus antitoxin 25000 units (tetanus antitoxin 5,000 units umbilical period closed), and with penicillin anti-infection, stability and anti-spasmodic, and oxygen, infusion and other supportive therapy, the condition failed to control. The next day, I got fever, cough, phlegm in my throat, twitching.