接触家犬引起狂犬病,国内文献报道极少。该病早期无特异症状,常被延误诊断。我院曾收治1例,报告如下。男,8岁,学生。因头痛、发热8d,间歇性呕吐、手足抽搐5d于1986年5月12日入院。入院前,曾于发病后第1、第5天先后2次在当地卫生院按上感给予感冒清、复方氨基比林、青霉素治疗无效,始来我院就诊。查体:体温38.5℃,血压16/9.3kPa,发育正常,营养中等,意识清楚,急性热病容。全身皮肤粘膜无破损,两侧扁桃体Ⅰ°肿大,不红,手足抽搐,余(-)。辅助检查:白细胞18.3×10~9/L,尿粪常规、血浆电解质正常。诊断:发热待查,重感冒。给复方新诺明1片,每日2次,5%糖盐水静脉滴注。次日,患儿烦躁,精神恍惚,体温40℃,心率180/min,为排除神经系统疾病作 Domestic dogs caused by rabies, rarely reported in the domestic literature. No early symptoms of the disease, often delayed diagnosis. I have admitted to hospital in 1 case, the report is as follows. Male, 8 years old, student. Due to headache, fever 8d, intermittent vomiting, limbs convulsions 5d on May 12, 1986 admission. Before admission, once in the first and fifth days after the onset of 2 times in the local hospital by the flu to give flu, compound aminopyrine, penicillin treatment ineffective, came to our hospital. Physical examination: body temperature 38.5 ℃, blood pressure 16 / 9.3kPa, normal development, moderate nutrition, awareness, acute fever tolerance. Whole body skin and mucous membranes without damage, both sides of the tonsils I ° enlargement, not red, hand and foot convulsions, Yu (-). Auxiliary examination: white blood cells 18.3 × 10 ~ 9 / L, urine stool routine, normal plasma electrolytes. Diagnosis: fever pending, heavy cold. To a new compound of Novolin, 1, 2 times a day, 5% sugar saline intravenous drip. The next day, children with irritability, trance, body temperature 40 ℃, heart rate 180 / min, for the exclusion of nervous system diseases