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病历摘要患者,女,59岁,住院号251021。以每日脓血便数次3个月,加重半月,于1981年11月4日急诊入院。3个月前不明原因的大便次数增多,每日达十余次。初为黄色水样便,2日后转为脓血样便,伴有阵发性腹痛,但无里急后重。发热、全身不适、恶心、呕吐、食欲不振。在本单位及市某医院按“菌痢”治疗,经服中药治疗好转后回家休息。但每日仍大便3～4次,稀糊状便,无脓血及粘液。入院前半月,因过劳病又加重,阵发性腹痛,解大量粘液糊状便,精神不振,食欲欠佳。近5天来发热,大便转为脓血样便,每日4～6次。恶心、呕吐、全身无力。再次按菌痢治疗,经服中药及土霉素、痢特灵等无效。在院
Patient summary, female, 59 years old, hospital number 251021. To daily pus and blood several times 3 months, increased half a month, on November 4, 1981 emergency admission. 3 months ago, the number of unexplained stool increased more than a dozen times a day. At the beginning of the yellow watery stool, 2 days after the transfer of pus and blood will be accompanied by paroxysmal abdominal pain, but no tenesmus. Fever, general malaise, nausea, vomiting, loss of appetite. In this unit and a hospital in the city by “bacillary dysentery” treatment, after taking the Chinese medicine treatment improved go home and rest. But still stool 3 to 4 times a day, thin paste, no blood and mucus. Half a month before admission, due to overwork and aggravating, paroxysmal abdominal pain, solution a lot of mucus paste, sluggish, poor appetite. Nearly 5 days to fever, stool to pus and blood stools, 4 to 6 times daily. Nausea, vomiting, general weakness. Press again bacillary dysentery treatment, after serving Chinese medicine and oxytetracycline, furazolidone invalid. In the hospital