普通型急性黄疸型病毒性肝炎早期呈癫痫样抽搐者极少见,我院曾收治1例,现报导如下。男,21岁,农民,未婚。因发热、头晕头痛2天,突然抽搐跌倒2小时,于1983年12月10日入院。主诉入院前2天发热,头晕头痛,食欲不振,尚能坚持工作;入院前两小时突然抽搐,晕倒于地,不省人事,口吐白沫,两手握拳,持续约4～5分钟,大小便失禁,被家人发现后急诊入院。过去史:4岁时曾因高热抽搐1次,以后未再发生抽搐。自称一向健康。体查:体温37.3℃,呼吸24次,脉搏80次,血压98/70,发育正常,神志恍惚,不合作,答非所问,定向力差。五官端正,颈软,右眼外上方有皮肤擦损1～2cm,瞳孔等大,对光反射存在。浅在淋巴结未触及,心肺正常。腹软,肝脾未触及。未引出病理神经反射。红细胞384万,血红蛋白9.5g,白细胞6000,中性67％,淋巴31％,嗜酸2％。胸透心肺未见病变。入院拟诊为感冒;癫痫?精神病? 入院后给予50％萄葡糖液40ml+维生素C1g静 Common acute jaundice viral hepatitis early epileptic convulsions were rare, our hospital had admitted to a case, are reported as follows. Male, 21 years old, farmer, unmarried. Due to fever, dizziness, headache for 2 days, suddenly convulsions fell 2 hours on December 10, 1983 admission. Chief complaint 2 days before admission, fever, dizziness, headache, loss of appetite, still able to adhere to the work; two hours before admission suddenly convulsions, fainted to the ground, unconscious, foaming at the mouth, hands fist, lasts about 4 to 5 minutes, Incontinence, emergency home admission after being discovered by the family. Past history: 4 years old had a high fever convulsions 1, no further convulsions. Claim to have always been healthy. Physical examination: body temperature 37.3 ℃, breathing 24 times, pulse 80 times, blood pressure 98/70, normal development, unconscious, unconscionable, poor orientation. Five facial features, neck soft, the skin outside the right eye abrasion 1 ~ 2cm, pupils and other large, the presence of light reflex. Shallow lymph nodes not touched, normal heart and lung. Abdomen soft, liver and spleen not touched. Did not lead to pathological nerve reflex. 3.84 million erythrocytes, hemoglobin 9.5g, white blood cells 6000, 67% neutral, lymphatic 31%, 2% eosinophilic. Chest heart and lung no lesions. Admitted to hospital diagnosed as cold; epilepsy? Mental illness? After admission to give 50% glucose solution 40ml + vitamin C1g static