论文部分内容阅读
患者男,24岁,工人。因发热,腹痛腹泻2月,血便10天于1986年2月21日入院。2月前劳累后上腹隐痛,腹泻脓血便,每日3~4次无里急后重,不规则发热。经痢特灵、庆大霉素治疗无效。入院前10天突解鲜血便1000ml,在当地医院对症处理症状无缓解。遂转我院。体检:贫血貌,腹软,脐周及两下腹压痛,无包块,肝肋下2cm,剑突下3cm,脾肋下2cm,质中无压痛。实验室检查:Hb6.5~82g/L,WBC2.6~6.1×10g/L,血小板、出、凝血时间正常。大便常规:色红,粘液++~+++,白细胞+~++,脓球+~++,阿米巴原虫(-),四次肥达氏反应H、
Patient male, 24 years old, worker. Due to fever, abdominal pain and diarrhea in February, bloody stool 10 days in February 21, 1986 admission. 2 months ago after exertion abdominal pain, diarrhea, pus and blood stool, daily 3 to 4 times no tenesmus, irregular fever. Furazolidone, gentamicin treatment ineffective. Ten days prior to admission sudden blood 1000ml, symptomatic treatment at the local hospital did not relieve symptoms. Then turn to our hospital. Physical examination: anemia appearance, abdomen soft, umbilical cord and two abdominal tenderness, no mass, liver ribs 2cm, xiphoid 3cm, spleen ribs 2cm, quality no tenderness. Laboratory tests: Hb6.5 ~ 82g / L, WBC2.6 ~ 6.1 × 10g / L, platelets, out, clotting time is normal. Stool routine: color red, mucus ++ ~ +++, leukocytes + ~ + +, pus ball + ~ + +, amoeba (-), four times fat Dahlia reaction H,