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目的探讨破伤风的临床表现、综合治疗措施,分析治疗效果及预后。方法回顾性分析130例患者的临床症状资料、治疗方法及预后。结果 130例患者中均具有苦笑面容、有不同程度的张口困难、牙关紧闭、言语不清、角弓反张和四肢抽搐等典型症状;经清创伤口,抗感染,抗毒素,镇静,维持水电解质平衡,营养支持治疗,气管切开,对症处理等综合治疗后,119例(91.5%)治愈出院,大部分预后良好。结论仔细处理伤口,采取综合措施治疗破伤风,重症病例应早期气管切开,是抢救成功的重要措施。
Objective To investigate the clinical manifestations of tetanus, comprehensive treatment measures, analysis of treatment and prognosis. Methods A retrospective analysis of 130 patients with clinical symptoms, treatment and prognosis. Results All 130 patients had smile face, different degrees of mouth opening difficulties, tightness of the mouth, ill-defined speech, cornering of the bow and twitching limbs and other typical symptoms; debridement wounds, anti-infective, antitoxin, sedation, Electrolyte balance, nutritional support, tracheotomy, symptomatic treatment and other comprehensive treatment, 119 patients (91.5%) were cured, most of the prognosis is good. Conclusion Careful treatment of wounds and comprehensive measures to treat tetanus, severe cases should be early tracheotomy, is an important measure to rescue success.