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本文报道6例严重水样腹泻患者,X 线钡餐及内窥镜检查均无异常发现,经从外表正常的结肠取组织标本进行显微镜检查,确诊为全结肠炎。6例中,女4、男2例;年龄39~62岁。均主诉腹泻,病程3个月~25年。每日大便量最多时达900~2,100ml,平均超过500ml(正常50~250ml)。平均每日大便6次,为稀烂或水样便,呈浅褐色至暗褐色,无带血。患者无剧烈腹痛,但均有腹部不适和乏力。5例体重减轻3.2kg 以上,2例踝部水肿。所有患者先前都接受过对症治疗,腹泻无明显好转。全部患者均接受过数次乙状结肠镜检和至少1次的全结肠镜检,结果正常。所有的患者均进行过双重
This article reports six cases of severe watery diarrhea patients, X-ray barium meal and endoscopy were no abnormal findings from the normal appearance of the colon tissue samples were taken microscopically diagnosed as total colitis. 6 cases, female 4, male 2 cases; aged 39 to 62 years old. The main complaint of diarrhea, duration of 3 months to 25 years. The daily amount of stool up to 900 ~ 2,100 ml, an average of more than 500ml (normal 50 ~ 250ml). The average daily stool 6 times for the pulpy or watery stool, light brown to dark brown, without blood. Patients without severe abdominal pain, but both have abdominal discomfort and fatigue. 5 cases weight loss 3.2kg or more, 2 cases of ankle edema. All patients had previously received symptomatic treatment, no significant improvement in diarrhea. All patients underwent sigmoidoscopy and at least 1 full colonoscopy with normal results. All patients were doubled