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首页> 外文期刊>感染症学雑誌 >A survival case of tetanus complicated with disseminated intravascular coagulation syndrome in the elderly, rescued by mechanical ventilation and administration of thiamylal
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A survival case of tetanus complicated with disseminated intravascular coagulation syndrome in the elderly, rescued by mechanical ventilation and administration of thiamylal

机译：机械通气和使用甲酰胺治疗抢救一名破伤风并发弥散性血管内凝血综合征的老年人

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摘要

A 78-year-old Japanese female was admitted to our hospital because of headache. Trismus, opisthotonus and convulsion appeared in the early morning on the second hospital day. She was diagnosed as tetanus based on these symptoms and the history of trauma on her left hand 6 days ago. A piece of bamboo was extracted from her left hand. However, Clostridium tetani was not identified. Thiamylal and mechanical ventilation were initiated combined with Pancronium, Diazepam and tetanus immune globulin. Gabexate Mesilate was also added for disseminated intravascular coagulation syndrome probably associated with rhabdomyolysis. By these treatments, she was healed leaving only a disuse syndrome of her limbs.
机译：一名78岁的日本女性因头痛而入院。在第二个住院日的清晨出现了三头肌，眼睑痉挛和抽搐。根据这些症状和6天前左手受伤的历史，她被诊断为破伤风。她的左手摘了一块竹子。但是，未鉴定出破伤风梭菌。合并甲硝唑，地西p和破伤风免疫球蛋白的患者开始进行胸甲和机械通气。甲磺酸甲贝酯也被用于弥散性血管内凝血综合征，可能与横纹肌溶解有关。通过这些治疗，她得到了治愈，仅留下了四肢废用综合症。

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