头型破伤风1例报道并文献复习  

Cephalic tetanus:a case report and literature review

作　　者：晏晨[1] 李佳[1] 杜贤进[1] 罗小敏[1] 吕菁君[1] 魏捷[1] YAN Chen;LI Jia;DU Xianjin

机构地区：[1]武汉大学人民医院急诊科

出　　处：《临床急诊杂志》2019年第11期842-843,846,共3页Journal of Clinical Emergency

摘　　要：1病例报告,患者,男,39岁,因"右眼睁眼困难7 d,张口受限4 d"来院。7 d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;4 d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。Cephalic tetanus is a special type of tetanus,which can be manifested as cranial nerve involvement in the early stage,with a high probability of misdiagnosis and a relatively poor prognosis.This article has reported a cephalic tetanus case and reviewed the relevant literatures,then summarized the clinical characteristics and key points of the diagnosis and treatment of cephalic tetanus.

关 键 词：头型破伤风 鉴别诊断 治疗 

分 类 号：R517.3[医药卫生—内科学]