对细菌性痢疾致下消化道大出血1例分析如下。1病历摘要女,54岁,以左下腹痛、发热、排鲜血便1d为主诉入院。患者缘于入院前1d食用田螺后开始出现左下腹痛,呈阵发性隐痛,程度不剧烈,无向他处放射,伴发热,体温波动于38.5～39.5℃之间,时有畏冷、寒战,有排鲜血便数次,混有黏液,每次量约150～250g,伴里急后重、肛门下坠感,曾出现一过性头晕、心悸,无出冷汗,无晕厥,无腹胀、恶心、呕吐,无返酸、嗳气 A case of bacterial diarrhea caused by gastrointestinal bleeding are as follows. A medical record female, 54 years old, with left lower abdominal pain, fever, blood row 1d were the main complaint. Patient due to consumption of snail 1d before admission began to appear left lower abdominal pain, paroxysmal sexual recess was pain, the degree is not severe, no radiation elsewhere, with fever, body temperature fluctuations between 38.5 ~ 39.5 ℃, sometimes cold, chills, A row of blood will be several times, mixed with mucus, each about 150 ~ 250g, with tenesmus, anal fall, had a transient dizziness, palpitations, no cold sweat, no syncope, no bloating, nausea, vomiting, no Back to acid, belching