杨××,男,11岁,因牙关紧闭,吞咽困难三天,抽风一天,于63年11月20日入院。患儿于发病前18天不慎被玻璃刺伤左足掌面,在家仅用破布包扎,未作其他处理。入院前15天,左脚肿胀疼痛越来越重,以后出现左腿发硬,活动不便;入院前三天出现张口困难,语言不清;近一天出现抽风而入院。检查:发育良好,神志清楚,苦笑面容。瞳孔圆且等大,对光反射存在。耳内无脓性分泌物。张口困难,齿距0.5厘米。颈强直,触动时呈角弓反张。肺(一)。心尖区可闻及收缩期Ⅰ级吹风样杂音。腹平呈“板状”,无压疼及反跳疼,肠鸣音存在。四肢肌肉紧张,以左下肢为显著,左足痉挛性强直并呈“巴彬斯基征”样畸形,明显红肿,足底有1厘米长的伤 Yang × ×, male, 11 years old, due to trismus, difficulty swallowing three days, ventilation day, admitted on November 20, 63. Children in the 18 days before the onset of accidental glass stab wound left foot palm, at home only rag bandage, no other treatment. 15 days before admission, his left foot swelling pain more and more after the left leg stiff, inconvenient activities; three days before admission Zhang mouth opening difficulties, the language is unclear; nearly one day evacuation and admission. Check: well-developed, conscious, smile face. Pupil round and so large, there is light reflection. No purulent ear secretions. Open mouth difficult, pitch 0.5 cm. Ankylosis of the neck, cornering when the flap was anti-Zhang. Lung (a). Apex area can be heard and systolic grade Ⅰ hair-like noise. Abdominal flat was “plate-like”, no pressure pain and bounce pain, bowel sounds exist. Extremities muscle tension, the left lower extremity was significant left spastic tonic and was “Babinski levy” -like deformity, obviously inflamed, plantar 1 cm long injury