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患者 女,30岁。因张口困难、颈背强硬、阵发性抽搐,于1994年12月29日急诊收住院。发病前6周顺产一男婴,1周前做输卵管结扎手术。常规术式,术中加用子宫支持器。手术进行顺序,取出子宫支持器后阴道有少量出血。术后第7天上午拆除切口缝线,伤口Ⅰ期愈合。拆线当日下午开始全身不适,焦虑不安,逐渐咀嚼不便,颈背发硬,并有阵发性抽搐而来院就诊,以破伤风收住院。入院查体:体温37℃,心率86次,血压16/10kPa。神志清楚,惊恐,苦笑面容,瞳孔等大等圆,对光反射正常。张口困难,
Female patient, 30 years old. Due to mouth difficulties, stiff neck, paroxysmal convulsions, December 29, 1994 emergency room admission. 6 weeks before onset of a baby boy abortion, tubal ligation 1 week ago. Conventional surgery, intraoperative plus uterine support. Surgery in order, remove the uterus support a small amount of vaginal bleeding. On the 7th day after operation, the incision suture was removed and the wound healed in the first phase. Disassembly on the afternoon of the same day began to malaise, anxiety, chewing gradually inconvenience, stiff neck and paroxysmal convulsions came to the hospital, admitted to hospital with tetanus. Admission examination: body temperature 37 ℃, heart rate 86 times, blood pressure 16 / 10kPa. Conscious, panic, smile face, pupil and other large circle, the light reflex normal. Open mouth difficult,