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病历报告张××,男,34岁,住院号16189,因呕吐,肌肉震颤两天,排尿障碍一天,于1984年3月29日入院。该患发病当日晚餐进食茧蛹约半斤,其中个别茧蛹钝端小点变为褐色,且带辣味。食后8小时突起频繁呕吐,全身肌肉颤抖,尤以上肢、颜面为甚,运动性失语,次日出现尿潴留,由当地医院转入我院。查体:T 36.4℃,P52次/分,Bp110/70mmHg,嗜睡,倦怠,运动性失语,全身肌肉可见不规则震颤。无黄染及皮疹,颜面潮红、结膜充血,眼球水平震颤(+),项强(-)。心肺无著变。肝脾未触及。膀胱明显充盈。膝腱反射亢进,余病理反射(-)。实验室及其他检查均无异常发现。
Medical records Zhang × ×, male, 34 years old, hospital number 16189, vomiting, muscle tremor for two days, one day dysuria, on March 29, 1984 admitted. The prevalence of the day of dinner eating cocoon pupa about half a catty, of which individual cocoons pupae blunt tip into a brown, and with hot. 8 hours after eating frequent vomiting, muscle trembling, especially in the upper limbs, face is even more, aphasia, urinary retention the next day, from the local hospital into our hospital. Physical examination: T 36.4 ℃, P52 beats / min, Bp110 / 70mmHg, drowsiness, fatigue, motor aphasia, abnormal muscle tremor visible. No yellow dye and rash, facial flushing, conjunctival hyperemia, eye level tremor (+), Xiang Qiang (-). Cardiopulmonary unchanged. Liver and spleen not touched. Bladder clearly filling. Knee tendon hyperreflexia, the remaining pathological reflex (-). Laboratory and other tests were no abnormal findings.