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病史摘要 女,1(2/12)。因呕吐、腹泻3天伴抽痉4次,于1985年11月27日入院。患儿在发病前3天吃冷虾及香蕉后,出现呕吐、腹泻。呕吐10余次/d。腹泻5～6次/d,呈蛋花汤样、无粘液、脓血。同时有发热,最高达41.3℃。曾在外院治疗,呕吐、腹泻次数减少,热始下降。于入院前14小时体温复升为38℃,出现嗜睡,测血糖1.1mmol/L,血象WBC6.8×10~9/L,中性0.72,淋巴0.28,血钾2.3mmol/L,氯化物100mmol/L。粪常规RBC0-2/HP,WBC0-3/HP。入院前6小时突然抽痉2次,神志不清,解出咖啡粘冻样便4～5次/日,以“中毒性菌痢”中毒性脑病”收住院。患儿系双胎阿小,32周早产,出生体重2100g,母亲及外公在患儿发病前后因劳累或进食少而诱发低血糖。入院体检:
Abstract history female, 1 (2/12). Due to vomiting, diarrhea, 3 days with antispasmodic 4 times, on November 27, 1985 admitted. Children eat cold shrimp and bananas 3 days before onset, vomiting, diarrhea. Vomiting more than 10 times / d. Diarrhea 5 ~ 6 times / d, was like egg drop soup, no mucus, pus and blood. At the same time fever, up to 41.3 ℃. Once treated outside the hospital, vomiting, diarrhea, reduce the frequency of heat began to decline. 14 hours before admission, the body temperature rose to 38 ℃, with lethargy, blood glucose 1.1mmol / L, blood WBC 6.8 × 10-9 / L, neutral 0.72, lymph 0.28, serum potassium 2.3mmol / L, chloride 100mmol / L. Dung conventional RBC0-2 / HP, WBC0-3 / HP. 6 hours before admission, convulsions spasm 2 times, unconscious, solved coffee sticky samples will be 4 to 5 times / day, with “toxic bacillary dysentery” toxic encephalopathy "admitted to hospital.The children were twins A small, 32 weeks preterm birth, birth weight 2100g, mother and grandfather in children before and after onset due to fatigue or eating less induced hypoglycemia. Admission medical examination: