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病历摘要患者女性,47岁,本市工人,1987年8月5日因腹泻两天伴呕吐数次而就诊.大便1天6～7次,呈白色水样,量中等.无发热、无腹痛.体检:无脱水征象,腹部无明显阳性体征.粪便常规检验未见红细胞或脓细胞,无粘液,仅见少许白细胞.肠道致病菌培养阴性.当时曾用庆大霉素及黄连素等治疗,症状未缓解;但病程持续一周后,腹泻停止.经调查,患者在发病前未与发生类似腹泻病例的人群密切接触.
Medical record Summary Patient Female, 47 years old, worker in this Municipality, visited the hospital on August 5, 1987 with vomiting for two days after diarrhea. Stools were white water samples 6 to 7 times a day with moderate amount. Physical examination: no signs of dehydration, abdomen no significant positive signs of stool routine examination no erythrocytes or pus cells, no mucus, only a small amount of white blood cells, intestinal pathogenic bacteria culture was negative when used gentamicin and berberine treatment , The symptoms did not relieve, but the diarrhea stopped after a week’s duration.After investigation, the patient did not get close contact with the crowd of similar diarrhea cases before the onset of the disease.