论文部分内容阅读
病历摘要患者男,5岁。因腹泻一个月余入院。一月前排绿色水样便,每天1～2次,量中等。近半月来次数、便量增加。3天来呕吐,烦渴,尿少。患儿两岁起经常腹泻,有食螺、蛤蚌、烘鱼史。家属无类似病史。体检,精神萎靡,呈慢性病容。皮肤苍黄,干燥无光泽,弹性极差,无出血点及皮疹,全身皮下脂肪消失。舟状腹,无压痛,未触及包块,肠鸣音亢进,肝脾未触及。红细胞329～459万,血红蛋白10～13克％白细胞3900～13700,中性62～63％,淋巴35～37％,大单核0～3％,嗜酸1～2％。便常规:脓球+～++++,红细胞少数～+++,阿米巴原虫阴性,霉菌阴性,滴虫++～阴性,姜片虫+～++,隐血++～+++。
Patient summary Male, 5 years old. Due to diarrhea more than a month admitted to hospital. One month ago row of green watery stool, 1 to 2 times a day, the amount of medium. Nearly half the number of times, the volume increased. 3 days to vomit, polydipsia, oliguria. Children often have diarrhea since the age of two, with snails, clams, roast fish history. No similar family history of illness. Physical examination, apathetic, was chronic disease. The skin is yellowish, dry dull, very flexible, no bleeding and rash, body subcutaneous fat disappears. Boat abdomen, no tenderness, no palpable mass, bowel sounds hyperthyroidism, liver and spleen not touched. 329 to 459 million erythrocytes, hemoglobin 10 to 13 grams of leukocytes 3900 to 13700, 62 to 63% of neutral, lymphatic 35 to 37%, large mononuclear 0 to 3%, 1 to 2% of eosinophilic. Will conventional: pus ball ~ ++++, a small number of red blood cells ~ +++, amoeba negative, mold negative, trichomoniasis ++ ~ negative, ginger worm + ~ ++, occult blood ++ ~ +++ .