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病例 男 25岁 农民 患者无精神病及癫痫病史,亦未能提供狂犬咬伤史。三天前突然出现右臂麻木,不能活动,数小时后渐发展到口周麻木,口及双上肢频繁抽搐,并反复吐口水,不能进食,不讲话。门诊前一天曾到某综合医院急诊科急诊并留观。查T40.5℃,WBC24.5×10~9/L,BUN36mg％,CO_2CP44.8Vol％,脑脊液(一),神经科及外科诊断“抽搐原因待查”,因留观时不合作,疑“癔症”或“急性精神病”遂于1991.4.3 9Am
Case Male 25-year-old farmer patients without psychosis and epilepsy history, also failed to provide rabies bite history. Three days ago suddenly appeared right arm numbness, can not move, gradually developed to a few hours later perioral numbness, mouth and upper extremities frequent convulsions, and repeatedly spit saliva, can not eat, do not speak. The day before the clinic had to a general hospital emergency department emergency and stay. Check T40.5 ℃, WBC24.5 × 10 ~ 9 / L, BUN36mg%, CO_2CP44.8Vol%, cerebrospinal fluid (a), neurology and surgical diagnosis of “convulsions to be investigated,” because of the lack of cooperation, doubt “ Hysteria ”or“ acute psychosis ”then in 1991.4.3 9Am