论文部分内容阅读
笔者等收治一例酷似霍乱的急性宋内细菌性痢疾(下称菌痢),报道如下。患者女,53岁,农民,1983年5月27日因恶心、呕吐3小时,腹泻2小时入院.患者突起呕吐8次,为胃内容;腹泻12次,不伴腹痛及里急后重,排便呈浅乳白色“米汤水”样,无肉眼可见血及粘液,量多.发病前曾吃剩下未煮沸的薯片、米饭及面条。近期无外出,家中及同村近期内无类似发作者及霍乱患者.体检:T36℃,R17次。P 及 BP 均测不到,神志清楚,倦怠,口唇及皮肤干皱,眼窝及面颊深凹,四肢厥冷,手指皱瘪,巩膜无黄染,肺(-),心界不大,心率88次,心音低纯,律齐,无杂音.腹软,呈舟状,双侧下腹部均有轻压痛,肝脾未触及,无积液征,肠鸣无亢进.实验室检查:血 WBC12.6×10~(?)/L,N86%.
The author received a case resembling cholera of acute bacillary dysentery (hereinafter referred to as bacillary dysentery), reported as follows. Patient female, 53 years old, farmer, 3-hour vomiting due to nausea and vomiting on May 27, 1983. The patient was admitted to hospital for 2 hours with vomiting 8 times for stomach contents, 12 times for diarrhea without abdominal pain and tenesmus, “Rice soup” like, no visible blood and mucus, the amount of more before the onset of eating uncooked potato chips, rice and noodles. No recent out, at home and in the village in the near future without a similar originator and cholera patients. Physical examination: T36 ℃, R17 times. P and BP are not measured, conscious, burnout, lips and skin dry wrinkles, deep and concave orbital and cheeks, extremities Jueleng, fingers wrinkled, scleral no yellow dye, lung (-), heart, heart rate 88 Second, the heart sound low purity, law Qi, no noise. Abdominal soft, was boat-like, both lower abdomen have mild tenderness, liver and spleen did not touch, no signs of effusion, bowel hyperactivity. Laboratory tests: blood WBC12. 6 × 10 ~ (?) / L, N86%.