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例1:苗某,男,14岁,学生。1984年12月5日10(30/Am)因阵发性颈部强直,头向左偏斜一小时来院,拟诊“落枕”,用红外线照射半小时症状好转回家。每天下午2时又来复诊,患者神志清楚,头颈向左偏斜比上午更明显,不发热,牙关不紧。用2%普鲁卡因4ml加氢化泼尼松50mg左肩胛内侧缘封闭,未奏效。患者颈部、肩胛部肌肉阵发性痉挛,进行性加剧,上半身向左倾斜,站立不住,继之头颈后仰,呈严重角弓反张样。又拟诊“低钙抽搐”。但经追问病史,知12月3日患者
Example 1: Miao, male, 14 years old, student. December 5, 1984 10 (30 / Am) due to paroxysmal neck stiffness, head left one hour to the hospital to be diagnosed “stiff neck”, half an hour with infrared irradiation, the symptoms go back home. Everyday afternoon at 2 o’clock referral again, the patient consciousness, head and neck deflection to the left more obvious than the morning, no fever, the teeth are not tight. With 2% procaine 4ml hydrogenated prednisone 50mg left scapular medial margin closed, did not work. Patients with neck, scapular muscle paroxysmal spasm, progressive increase in the upper body tilted to the left, unable to stand, followed by head and neck back, was severe angle arch anti-Zhang. Also intended to diagnose “low calcium convulsions.” However, after the medical history, known December 3 patients