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陈×,男,12岁,1981年8月20日入院.2天前发热、呕吐、稀便。住院当日为脓血便,血多,30次/日左右,里急后重.T38.4℃,BP100/80mmHg,除脐周及下腹隐疼外,余无异常。查血白细胞48400,中性分叶91%,淋巴9%,粪检未找到阿米巴.住院第5日口唇干燥、烦渴、面色苍灰、精神萎靡.T35.7℃,BP90/60mmHg,大便酱红,血白细胞131000,中性分叶88%,杆状5%,淋巴2%,中幼粒细胞5%,大部分中性粒细胞内有中毒性颗粒,部分含有空泡,骨髓象基本正常.经相应治疗及输血600毫升,住院第7日病情稳定,大便呈绿色粘糊,潜血(+),2次/日.血白细胞40000,中性分叶95%,杆状
Chen ×, male, 12 years old, admitted to hospital on August 20, 1981. 2 days ago fever, vomiting, loose stools. The date of hospitalization for pus and blood, more blood, 30 times / day, tenesmus, T38.4 ℃, BP100 / 80mmHg, except umbilical cord and lower abdomen hidden pain, I no exception. Check white blood cells 48400, neutral leaves 91%, lymph 9%, not found amoeba stool .5 days hospitalized lips dry, polydipsia, pale gray, apathetic.T35.7 ℃, BP90 / 60mmHg, Stool sauce red, blood leukocytes 131000, 88% of neutral leaves, stems 5%, lymph 2%, 5% of neutrophils, most of the neutrophils toxic particles, some contain vacuoles, bone marrow like Basically normal.After the corresponding treatment and blood transfusions 600 ml, hospitalized on the 7th day in stable condition, the stool was green sticky, occult blood (+), 2 times / day. White blood cells 40000, 95% neutral lobes