头型破伤风1例报道并文献复习

Journal of Clinical Emergency(2019)

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Abstract
1病例报告 患者,男,39岁,因“右眼睁眼困难7d,张口受限4d”来院.7d前,患者无诱因出现右眼睁眼困难并右侧额纹变浅,当时未予在意;4d前,患者出现张口受限,吞咽困难,饮水呛咳,颈背疼痛,就诊于外院神经内科,行头颅CT检查提示:双侧基底节区腔隙性脑梗,初步诊断为:①急性脑梗死;②Horner综合征?收住院后给予脱水、营养神经、预防感染等治疗,后患者症状逐渐加重,并出现阵发性全身肌肉强直性痉挛和抽搐等症状,急转来我院.
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