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患者,男,17岁。于1983日3月30日因便血三次,量约1000ml致昏迷急诊入院。经止血药、输血等治疗,便血停止。出院后常觉腹痛、腹胀,伴低热。1984年2月11日便血约600ml后,昏例入院。经输血、止血药,抗生素并加用地塞米松15mg/日治疗,便血停止。行乙状结肠镜检,见直肠粘膜呈不规则片状渗血,粘膜面上有脓性粘液复盖,距肛缘12cm处右侧肠壁有直径约2cm溃疡。病理检查因未取到病变处组织而无结果。25天后出院,仍有不规则低热、腹痛。1984年3月27日又便血约1000ml入院。临床曾先后诊断为肠息肉、出血性肠炎、溃疡性结肠炎等。
Patient, male, 17 years old. On March 30, 1983, three bloody stools and a volume of about 1000ml caused coma to be admitted to the hospital. After treatment with hemostatic drugs, blood transfusion, etc., blood in the stool stops. Abdominal pain, bloating, and low fever were common after discharge. After about 600 ml of blood on February 11, 1984, a fainting patient was admitted to the hospital. Blood transfusions, hemostatics, antibiotics, and dexamethasone 15 mg/day were used to stop the blood in the stool. In sigmoidoscopy, the rectal mucosa was irregularly oozing and mucous membranes were covered with purulent mucus on the mucosal surface. There was a 2 cm diameter ulcer on the right intestine wall 12 cm from the anal margin. Pathological examination resulted in no result because the lesion tissue was not taken. After leaving the hospital 25 days later, there was still irregular fever and abdominal pain. On March 27, 1984, about 1,000 ml of blood was admitted to the hospital. He had clinically diagnosed intestinal polyps, hemorrhagic colitis, and ulcerative colitis.