根据细菌性痢疾防治方案中的规定和二年来的实践证明,菌痢的诊断还比较容易,规定得也很明确,一般可分临床和病原诊断两部分,并应以临床诊断为基础。现将细菌性痢疾的诊断和鉴别诊断问题,就个人的体会并综合一些资料,探讨如下。菌痢的诊断(一)临床诊断:这是菌痢基本的诊断根据,临床医生必须很好掌握。1.流行病学资料:流行病学资料说明患者有无感染本病的可能。如某单位有菌痢流行时和患者密切接触者,或出外执勤不注意个人卫生或进食不洁食物或不洁瓜果等都是造成感染可能的条件,尤其在夏秋季节,这种机会更多。因此,凡腹泻或痢疾者,参照上述流行病学的资料,有助于诊断。2.临床表现:菌痢患者由于机体的感受性和痢 According to the provisions of bacterial diarrhea prevention and control programs and two years of practice have proved that the diagnosis of bacillary dysentery is relatively easy to set up very clearly, generally divided into clinical and pathogenic diagnosis of two parts, and should be based on clinical diagnosis. The diagnosis and differential diagnosis of bacillary dysentery now, on the personal experience and synthesis of some information, discussed below. Diagnosis of bacillary dysentery (a) clinical diagnosis: This is the basic basis for diagnosis of bacillary dysentery, clinicians must be well mastered. 1. Epidemiological data: Epidemiological data show the possibility of infection of the patient. Such as a unit with bacillary dysentery epidemic and the patient in close contact with, or out on duty do not pay attention to personal hygiene or eating unclean food or unclean fruits are likely to cause infection conditions, especially in summer and autumn, this opportunity to more . Therefore, diarrhea or diarrhea, with reference to the epidemiological data above, contribute to the diagnosis. 2. Clinical manifestations: bacillary dysentery patients due to the body’s sensitivity and diarrhea