急性期破伤风患者多有典型症状,根据外伤史和临床表现一般均可做出诊断。但也有无明确外伤史,亦无典型的临床表现。下面介绍一例以进食呛咳及呼吸困难就诊的病例。病例摘要; 患者,女,30岁,农民,已婚,于3日前劳动中突感咽部有痰不能咳出且憋气。曾在当地医院按“急性喉炎”用青霉素治疗无效。一天前出现进食呛咳、讲话失音就诊。以“双声带麻痹”于1987年6月28 Acute tetanus patients with typical symptoms, according to the history of trauma and clinical manifestations can generally make a diagnosis. But there is no clear history of trauma, nor the typical clinical manifestations. Here is an example of eating cough and difficulty breathing for treatment of cases. Case Summary; Patient, female, 30 years old, farmer, married, 3 days ago, labor in the throat sputum can not cough and suffocating. In the local hospital by “acute laryngitis” with penicillin treatment is invalid. A day before eating cough, speech acupuncture treatment. With “vocal cord paralysis” in June 28, 1987