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流行性出血热是一组以发热、出血、肾损害为主要临床特征的自然疫源性疾病。其临床表现错综复杂,极易漏误诊。我院近2年收治5例以腹痛、脓血便为首发症状而误诊为菌痢的患者,为吸取教训,现总结分析如下。 1 临床资料 本组5例均为住院病人,男4例,女1例,年龄22～40岁,平均31岁,病程1～3天,既往体健。临床表现为不同程度的发热、腹痛、脓血便,其中2例有里急后重,3例伴腰痛,查大便:脓球,红细胞,诊为菌痢,治疗1天,脓血便症状减轻者4例,但5例患者仍发热、腹痛。查体:双腋下均可见散在出血点,查
Epidemic hemorrhagic fever is a group of natural foci of diseases characterized by fever, hemorrhage and renal damage as the main clinical features. The clinical manifestations of complex, easily missed misdiagnosis. In our hospital in recent 2 years, 5 cases were treated with abdominal pain, pus and blood as the first symptom misdiagnosed as bacillary dysentery patients, for the sake of learning, are summarized as follows. 1 Clinical data The group of 5 patients were hospitalized patients, 4 males and 1 female, aged 22 to 40 years, mean 31 years, duration of 1 to 3 days, previous physical health. Clinical manifestations were varying degrees of fever, abdominal pain, pus and blood will, of which 2 cases have tenesmus, 3 cases with low back pain, check the stool: pus, red blood cells, diagnosed as bacillary dysentery, treatment 1 day, pus and bloody relieve symptoms in 4 cases, 5 patients still fever, abdominal pain. Physical examination: both armpits are scattered in the bleeding point, check