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例1,24岁,男,蒙古族牧民.于入院前15天骑马坠落致右胫腓骨闭合性骨折,在当地行手法整复夹板外固定.约1周后患肢皮胀溃烂.2天前出现咽部不适,嚼肌酸困,张口困难.确诊为破伤风后入院.X线片示胫骨中段螺旋型骨折移位,无骨痂生长.入院后给予清除坏死组织,双氧水冲洗后敞开伤口,静点T.A.T.5万单位,青霉素1000万单位.当晚患者出现角弓反张、高热,次日抢救无效死亡.
Cases of Mongolian herdsman and male, aged 24, aged 15 days before admission, fell to the right tibiofibular closed fracture 15 days before admission, and were manipulated locally to fix the external fixation of the splint. Appear throat discomfort, chewing creatine sleepy, mouth difficulties .After the diagnosis of tetanus hospitalization .X ray showed the middle of the tibial screw fracture displacement, no callus growth.After admission to give clear necrotic tissue, hydrogen peroxide washing open the wound, Static TAT5 million units, penicillin 10 million units. Corner patients bow corner anti-Zhang, fever, the next day the rescue died.