一、病历摘要患者罗××、男性、20岁、汉族,现住中东乡回贤村、潞西县人,1960.4.1.入院、同年5月8日出院。代诉:十多天前左手无名指被刀切伤,继之肿胀化脓,曾用射香及其他药物包扎过,五天前发现下颚、咀、腰等笨重不灵、呼吸吞咽困难,过去从未有过类似现象。检查:面部肌肉痉挛,呈苦笑面容,四肢持续性痉挛强直,呈背弓反张状,左手第四指尖有切伤处,浸润肿胀化脓。大小便尚能自解,心肺无异常发现。意见:全身性破伤风。 First, the medical records Abstract Luo × ×, male, 20 years old, Han, now lives in Middle East Township Hui Yin Village, Luxi County, 1960.4.1. Admission, the same year on May 8 was discharged. Appeal: More than a dozen days ago, the left ring finger was severed by a knife, followed by a swollen, purulent, vaginal discharge and other medication. Five days earlier it was found to be cumbersome, Have a similar phenomenon. Check: facial muscle spasms, was smile face, persistent spasm of limbs straight, anti-Zhang was anti-arch, the fourth left fingertips have cut injury infiltration and swelling suppuration. Residues can still self-solve, no abnormal heart and lung findings. Opinion: Generalized tetanus.