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患者,男性,38岁,农民,1994年春因发热头痛烦躁2天来院就诊,查体体温38℃。脉搏90次/分,呼吸21次/分,血压19.3/12kPa,神志清楚,惊恐貌,皮肤无皮疹,右上肢有一约2cm疤痕,颈软,无抵抗感,心肺(-),腹软,肝、脾未及,化验血常规WBC11.0×10~9/L,NO.75,L9.25。流行病学:无狗猫咬伤及抓伤史,无狂犬病患者接触史,无狂犬病疫苗注射史,但一年前曾被自家驴咬伤。留观察室治疗,次日患者烦躁加重,出大汗,唾液分泌增加,饮水时全身抽搐,确诊为狂犬病,下午5时渐安静,后出现四肢瘫痪,
Patients, males, 38 years old, peasants, spring 1994 headache irritability due to fever for 2 days hospital, physical examination temperature 38 ℃. Pulse 90 beats / min, breathing 21 beats / min, blood pressure 19.3 / 12kPa, conscious, panic appearance, skin rashes, right upper extremity with a scar of about 2cm, soft neck, no resistance, , Spleen not yet, blood test WBC11.0 × 10 ~ 9 / L, NO.75, L9.25. Epidemiology: No cat bites and scratches history, no history of rabies contact, no rabies vaccine injection history, but a year ago was bitten by their own donkey. Stay observation room treatment, the patient aggravated the next day, out of sweat, increased salivation, drinking water, convulsions, diagnosed as rabies, 5 pm gradually quiet, quadriplegia appeared after,