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患者,女,5岁。因昏迷伴肢体僵直4小时于1989年7月13日入院。入院前5小时因腹泻、呕吐在当地医院肌注复方黄连素2ml,胃复安20mg。1小时后呼之不应,肢体僵直转入本院。查体:T36.1℃、P110次/分、R24次/分,BP10.64/8.0kpa。急性病容,被动体位,昏迷状态,面容呆板,缺乏表情。对外界刺激无任何反应,失语,眼睑未闭,双眼球呈水平样无目的缓慢反复运动。流涎。头向左侧扭转,颈项僵直。肠鸣音活跃,腹壁反射亢进。四肢肌张力增高呈强直伸展,臂内旋,腕关节屈曲。浅反射消失。肱二头肌、肱三头肌、膝腱、跟腱反射亢进。巴氏征
Patient, female, 5 years old. Due to coma with limb stiffness 4 hours on July 13, 1989 admission. 5 hours before admission because of diarrhea, vomiting intramuscular injection of berberine 2ml, metoclopramide 20mg. One hour after the call should not, limb stiffness transferred to this hospital. Physical examination: T36.1 ℃, P110 beats / min, R24 beats / min, BP10.64 / 8.0kpa. Acute illness, passive posture, unconsciousness, dull face, lack of expression. No reaction to external stimuli, aphasia, eyelid is not closed, the eyes were horizontal without a goal slowly and repeatedly exercise. Drooling Head twisted to the left, stiff neck. Bowel sounds active, abdominal hyperreflexia. Extensor muscle tension increased was straight stretch, arm rotation, wrist flexion. Shallow reflections disappear. Biceps, triceps, knee tendon, Achilles tendon hyperreflexia. Pakistan’s sign