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脓血便是肠道疾患中常见的症状,也是传染科医生经常遇到的临床症状之一。脓血便的病因诊断并不困难,但误诊也常有发生,其经验教训确有值得吸取之处。现将我院14例脓血便被误诊为细菌性痢疾的原由作如下分析。 临床资料 本组14例,男性9例,女性5例。年龄1岁以内6例、1～10岁1例、31～40岁4例、51～65岁4例。14例病例中,4例肠癌、4例阑尾炎、4例肠套叠、1例坏死性小肠炎、1例败血症,均先后被误诊为细菌性痢疾。 病例简介 例1 女性,32岁,腹痛三天,腹泻黄色粘欲
Pus and blood is a common symptom of intestinal disorders, but also infectious disease clinicians often encounter clinical symptoms. The etiology of pus and blood is not difficult to diagnose, but misdiagnosis is also often occur, its lessons are indeed worth learning. Now in our hospital 14 cases of pus and blood will be misdiagnosed as the cause of bacterial dysentery for the following analysis. Clinical data The group of 14 patients, 9 males and 5 females. 6 cases were under 1 year old, 1 case was from 1 to 10 years old, 4 cases were from 31 to 40 years old and 4 cases were from 51 to 65 years old. In 14 cases, 4 cases of intestinal cancer, 4 cases of appendicitis, 4 cases of intussusception, 1 case of necrotizing enterocolitis, and 1 case of sepsis were misdiagnosed as bacillary dysentery. Case Description Example 1 Female, 32 years old, abdominal pain for three days, diarrhea yellow lust