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家鼠型流行性出血热,下消化道的症状诸多。本文观察了84例中主要症状:腹痛占54.8%、腹泻占45.23%、里急后重占25%。大便性状:脓血粘液便占8.1%,粘液稀便占10.7%。大便镜检:脓细胞,红细胞满视野占7.1%,巨噬细胞5.95%。大便潜血++—+++占24%。大便培养致病菌阴性,阿米巴原虫阴性,肠道其他寄生虫阴性。直肠乙状结肠镜检,具有脓血便4例,粘液稀便2例,窥检的6例中,肠粘膜均显现充血、水肿、糜烂、溃疡等炎性改变,随出血热病程演变,病情康复,肠粘膜恢复正常,为时12～28天,窥检病变表现见表:
Home murine epidemic hemorrhagic fever, many symptoms of the lower gastrointestinal tract. In this paper, the main symptoms of 84 cases were observed: abdominal pain accounted for 54.8%, diarrhea accounted for 45.23%, tenesmus accounted for 25%. Stool traits: pus and blood mucus accounted for 8.1%, loose stool accounted for 10.7%. Stool microscopy: pus, full of red blood cells accounted for 7.1%, macrophages 5.95%. Fecal occult blood ++ - +++ accounts for 24%. Stool culture pathogenic negative, negative for amoeba protozoa, intestinal other parasites negative. Rectal sigmoidoscopy, with pus and blood in 4 cases, 2 cases of mucus loose stool, glimpse of the 6 cases, the intestinal mucosa showed congestion, edema, erosion, ulcers and other inflammatory changes, with the course of hemorrhagic fever evolution, recovery, recovery, Mucosa returned to normal for 12 to 28 days, see the performance of lesions in Table: