论文部分内容阅读
患者 女,22岁。因头痛4天,不自主斜颈半天,于1994年10月2日19时急诊入院。患者于4天前因受凉开始感头痛、鼻塞、咽痛,无恶心呕吐,也不发热,未予特殊处理。当日午餐后,突然出现颈项向左下不自主强直倾斜,呈阵发性,并逐渐频繁发作,每次约2～5分钟,无口吐白沫,也无四肢抽搐及二便失禁。以往身体健康,否认药物过敏史,无重大精神创伤史。查体:T 37.2℃,P92次/分,R 18次/分,BP 14/11kPa(105/82.5mmHg),意识清,双额纹对称,双侧瞳孔等大同圆,直径约0.2cm,对光反射灵敏,双侧鼻唇沟对称,伸舌居中,咽部充血,发作时上下牙对位不齐,颈项向左侧倾斜,左胸锁乳突肌肌力明显大于右侧,四肢肌力、肌张力正常,生理反
Female patient, 22 years old. 4 days due to headache, involuntary torticollis half a day, at 19 o’clock on the October 2, 1994 emergency admission. The patient started feeling headache, stuffy nose, sore throat, nausea and vomiting 4 days ago and did not get any fever and was not given special treatment. The day after lunch, a sudden neck left involuntary involuntary tilt, paroxysmal, and frequent episodes, each about 2 to 5 minutes, no foaming, no limbs and convulsions and incontinence. In the past, good health, denied the history of drug allergies, no major history of trauma. Examination: T 37.2 ℃, P92 / min, R 18 beats / min, BP 14 / 11kPa (105 / 82.5mmHg), clear consciousness, double forehead symmetry, bilateral pupil and other Datong circle, diameter of about 0.2cm, Sensitive to light reflex, symmetrical bilateral nasolabial fold, extensor middle, pharyngeal hyperemia, upper and lower teeth at the time of misalignment, neck tilt to the left, left sternocleidomastoid muscle strength was significantly greater than the right, limb muscle strength , Normal muscle tone, physiological anti