1病例报告患者女,50岁,主因右踝外伤后疼痛、肿胀38h,于2010年8月25日入院。患者缘于田间劳作时右踝被黄芥秆刺伤,当时局部出血、疼痛、肿胀,伴全身肌肉酸痛、无力、全身大汗,自觉颈部、咀嚼肌及面部表情肌僵硬、言语不利、呼吸困难,30min后肿胀范围扩大至膝关节下方,并出现恶心、呕吐、腹痛、腹胀,当时意识清楚,无昏迷、四肢瘫痪或抽搐,无大、小便失禁,即就诊于当地诊所,给予静脉滴注头孢哌酮、西咪替丁、阿米卡星、氨基酸等治疗(具体剂量不详)1d后, A case report Female patient, 50 years old, the main right ankle pain and swelling, swelling 38h, on August 25, 2010 admitted. Patient was stabbed in the right ankle due to yellow mustard stalks when field work was performed. Local bleeding, pain, swelling, generalized muscle aches, weakness, sweating, conscientious neck, masticatory muscles and facial muscles were stiff, verbal unfavorable, respiration Difficulty, 30min swelling range expanded to below the knee, and nausea, vomiting, abdominal pain, abdominal distension, was aware, no coma, limb paralysis or convulsions, no large, urinary incontinence, that visit the local clinic, given intravenous drip Cefoperazone, cimetidine, amikacin, amino acids and other treatments (specific dose unknown) 1d,