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病例男,22岁,车工,未婚,河北人。因颈项强直,张口困难,于1957年10月31日急诊入院,入院号1099。患者于10月28日在车间工作时,不慎被铁锤击伤右手食指,出血少量.经医务所包扎后,未进行特殊处理。至30日下午患者感心跳不适,张口、言语、呼吸困难及发热等现象,但无抽搐。31日晨症状显著加重,并感颈部强直,不能坐起,四肢活动困难,但尚无阵发性痉孪性强直现象,乃于下午入院。体格检查:发育正常,营养中等,神智清楚,表情淡漠,言
Case male, 22 years old, turner, unmarried, Hebei. Due to neck stiffness, mouth opening difficulties, on October 31, 1957 emergency admission, admission number 1099. When the patient was working in the workshop on October 28, he was accidentally attacked by his right index finger with a hammer and had a small amount of bleeding, and no special treatment was carried out after being bandaged by the medical clinic. To the afternoon of the 30th, the patient felt uncomfortable, mouth, speech, dyspnea and fever, but no convulsions. Symptoms were significantly aggravated on the morning of the 31st. He felt stiff neck and was unable to sit up and had difficulty moving his limbs. However, no spasm of spasms occurred. He was hospitalized in the afternoon. Physical examination: normal development, moderate nutrition, clear mind, expression indifferent, words