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例一,3岁女童,腹痛、腹泻月余,大便稀黄,每日4～5次,多则10次,偶带脓血,初病时发热39℃。检查呈营养不良状,右下腹扪及包块并有压痛,大便中红细胞(+),白细胞(++),未查到阿米巴原虫。入院后按菌痢及肠炎治疗无效,入院次日体温39℃,出现腹胀,频繁呕吐,肛门有少量血水流出,呕出粪水样胃内容及咖啡色液体,肠鸣减弱,有可疑移动性浊音,腹透见肠腔大量充气,右下腹肠管内有8个液平,当天下午患儿呈衰竭样,面色苍白,血压50/30mmHg,终于死亡,临床考虑合并肠梗阻。
Example 1, 3-year-old girl, abdominal pain, diarrhea, more than a month, stool thin yellow, 4 to 5 times a day, as many as 10 times, even with pus and blood, the first fever 39 ℃. Examination showed malnutrition, right lower quadrant palpable mass and tenderness, stool in red blood cells (+), white blood cells (++), not found in amoeba. After admission, according to the bacillary dysentery and enteritis treatment ineffective admission the next day the temperature 39 ℃, abdominal distension, frequent vomiting, anus a small amount of blood outflow, vomit manure-like stomach content and brown liquid, bowel sounds weakened, suspicious mobility dullness, Abdominal see a large number of inflamed intestine, right lower quadrant intestine 8 levels, the afternoon of the child showed failure, pale, blood pressure 50 / 30mmHg, and finally died of clinical consideration of intestinal obstruction.