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患者,男性,8岁,学生,1990年7月15日被家犬咬及左腿(未伤皮肉),当时肌注组织培养人用狂犬病佐剂疫苗1针(成都生物制品研究所生产),第3天因头昏、乏力、低烧未继续注射疫苗,2天后症状自行消失。第12天中午感全身不适,晚上7时左右突然抽搐、意识不清,急诊入院。既往身健。入院查体:T37.8℃,P92次/分,R22次/分,BP12/8kPa,神志清楚,颈无抵抗,四肢肌张力,肌力、感觉、腱反射正常,双Babinski征可疑阳性,脑膜刺激征阴性。血白细胞12.3X10~9/L,中性71％,淋巴27％,嗜酸性2％。脑脊液无色透明,压力60滴/分,潘氏反应(+),白细胞28×10~6/L,多核0.1,单核0.9,糖氯化物正常。
Patient, male, 8 years old, student, July 15, 1990 was bitten by dog and left leg (not hurt flesh). At that time, intramuscular tissue culture human rabies adjuvant vaccine 1 dose (Chengdu Institute of Biological Products) The third day because of dizziness, fatigue, low fever did not continue to inject the vaccine, 2 days after the symptoms disappear. No feeling of discomfort on the 12th day at noon, suddenly twitch around 7 pm, unconsciousness, emergency admission. Past health. Admission examination: T37.8 ℃, P92 beats / min, R22 beats / min, BP12 / 8kPa, conscious, cervical non-resistance, limb muscle tension, muscle strength, sensation, tendon reflexes normal, double Babinski sign suspicious positive, Excitation sign negative. Blood leukocytes 12.3X10 ~ 9 / L, 71% neutral, lymphatic 27%, eosinophilic 2%. Cerebrospinal fluid was colorless and transparent, pressure 60 drops / min, Pan’s reaction (+), white blood cells 28 × 10 ~ 6 / L, multi-nuclear 0.1, mononuclear 0.9, normal sugar chloride.