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病史摘要卢××,男,30岁,汽车修理工,住院号:168885。因间歇性脓血便8月,伴不规则发热5月,于1981年7月22日以非特异溃疡性结肠炎、左上腹块待查入院。患者于1980年10月起腹痛、腹泻、呈粘冻样便3～4次/日,在当地医院诊断为菌痢,应用抗生素,一周后好转出院。1981年2月起大便有明显粘冻,时带血性或果酱色2～3次/日,里急后重加剧,同时出现不规则发热38.5～39.5℃,无畏寒,在某医院门诊,经钡剂灌肠诊断为结肠炎而收入病房。1981年4月下旬作纤维乙结肠镜检查,见各段结肠均有
Summary of medical history Lu × ×, male, 30 years old, car mechanic, hospital number: 168,885. Due to intermittent pus and blood in August, with irregular fever in May, on July 22, 1981 non-specific ulcerative colitis, left upper abdominal block to be admitted to hospital. Patients in October 1980 from abdominal pain, diarrhea, was frozen sticky 3 to 4 times / day, diagnosed in the local hospital bacillary dysentery, the application of antibiotics, a week after the improvement of discharge. February 1981 since the stool was significantly frozen, when bloody or jam color 2 to 3 times / day, tenesmus severe exacerbation, while irregular fever 38.5 ~ 39.5 ℃, no chills, in a hospital clinic, the diagnosis of barium enema Income for the colorectal ward. In late April 1981 for fiber B colonoscopy, see each segment of the colon have