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我院遇狂犬病3例,分别误诊为癔病,癫痫,多发性周围神经炎。例1,女,34岁。因口角歪斜3天于1987年3月26日入院。入院前一天,因婆媳生气而出现口角左歪,时有牙关紧闭。检查:神志清,表情淡漠,口角左歪。其它无阳性体征。脑脊液:蛋白(±),细胞数;6个,糖,氯化物均正常。诊断为“癔病”,给予暗示治疗,口角歪斜好转。翌日,出现双侧咬肌痉挛,流口水,颈强,惊惶不安。此时仍以“癔病”来解释。入院后第四天患者出现唾液分泌增多,气促,呼吸困难,狂
3 cases of rabies in our hospital, were misdiagnosed as hysteria, epilepsy, multiple peripheral neuritis. Example 1, female, 34 years old. 3 days due to skew angle March 26, 1987 admission. The day before admission, due to her mother-in-law angrily left the mouth crooked, when the teeth closed. Check: Conscious, indifferent expression, left crooked mouth. No other positive signs. Cerebrospinal fluid: protein (±), cell number; 6, sugar, chloride are normal. Diagnosed as “hysteria”, given hints of treatment, mouth skew better. The next day, there bilateral masseter muscle spasm, drooling, neck strong, panic. At this time still “hysteria” to explain. On the fourth day after admission, patients experienced increased salivary secretion, shortness of breath, difficulty breathing, and madness