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患儿,男,2岁,四川省籍人。因发烧,脓血便2d以急性菌痢入院。体温39℃,发育营养侄,无脱水及贫血外观,皮肤无黄染及出血点,心肺肝脾未见异常。外周血红细胞4.2×10~(12)/L,血红蛋白120g/L,白细胞13×10~9/L,中性68％,淋巴32％,便化验红细胞,脓细胞满视野。入院后给予痢特灵100mg/d,分次日服。用药3d后,热退,脓血便消失,但患儿面色日渐苍白,尿少,且外观酱油色,此外巩膜轻度黄染,食欲不振,呕吐,嗜睡。外周血白细胞9×10~9/L,血小板150×10~9/L,红细胞2.3×10~(12)/L,血红蛋白65g/L,网织红细胞2％,出凝血时间均正常。尿化验无红细胞,潜血试验
Children, male, 2 years old, Sichuan nationality. Due to fever, pus and blood 2d to acute bacillary dysentery hospitalized. Body temperature 39 ℃, the development of nephew, no dehydration and anemia appearance, no yellow skin and bleeding, no abnormal heart and lung liver and spleen. Peripheral blood red blood cells 4.2 × 10-12 / L, hemoglobin 120g / L, white blood cells 13 × 10 ~ 9 / L, 68% neutral, lymphatic 32%, then test erythrocytes, pus full field of vision. After admission, furazolidone 100mg / d, sub-day service. Medication 3d, hot retreat, pus and blood will disappear, but the children look pale, less urine, and the appearance of soy sauce color, in addition scleral mild yellow dye, loss of appetite, vomiting, lethargy. Peripheral blood leukocytes 9 × 10 ~ 9 / L, platelets 150 × 10 ~ 9 / L, red blood cells 2.3 × 10 ~ (12) / L, hemoglobin 65g / L, reticulocytes 2%, the clotting time are normal. Urinalysis without erythrocytes, occult blood test