病历摘要唐某,男,32岁,住院号33138。因反复腹泻、发热、腹痛3年余,加重3月。于1985年6月22日入院,3年前患者出现腹泻,4—6次/日,咖啡色或高粱色,混有粘液,奇臭,量少,无里急后重,左下腹胀痛,喜按压,便后可缓解,腹泻加重时,有发热(38～39℃),以下午及晚间更显。以上症状反复发生,经厂医院治疗无效,于1982年7月20日首次入我院,住院期间,除十二指肠引流各管均有少许白细胞外,余无特殊发现,按“胆道感染”治疗一月余,好转出院。出院后上述症状又复发,直至入院前3月症状加重,不能坚持工作,曾解鲜红色大便约500ml,在厂医院曾用青霉素、庆大霉素、氨苄青、地塞米松治疗 Medical Record Abstract Tang M, male, 32 years old, hospital number 33138. Due to repeated diarrhea, fever, abdominal pain for more than 3 years, increase in March. Admitted to hospital on June 22, 1985. Three years ago, the patient developed diarrhea, 4-6 times per day, brown or high-colored, mixed with mucus, strange odor, small amount, no urgency, weight, left lower abdominal pain, hi compression, after It can be alleviated. When diarrhea is aggravated, there is fever (38-39°C), which is even more pronounced in the afternoon and evening. The above symptoms occurred repeatedly and was ineffective after treatment at the factory hospital. I was admitted to our hospital for the first time on July 20, 1982. During hospitalization, except for a few leukocytes in each tube of the duodenal drainage, no special findings were found. Treatment for more than a month, improved and discharged. After discharge, the above symptoms recurred until the symptoms became worse in March before admission. They were unable to continue working. They had resolved about 500 ml of stools in bright red. They had been treated with penicillin, gentamycin, ampicillin and dexamethasone in the factory hospital.