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1.临床资料患者女,42岁,渔民。因剧烈泻吐1小时住当地医院抢救,症状好转后转本院。患者发病前1天晚上吃过“炒螺丝肉”,于次日凌晨起剧烈泻吐,大便失禁,呕吐频繁,每次量多,泻吐物呈米泔水及清水样,无脓血,无明显腹痛,无畏寒发热,病后精神萎糜不振,口干、尿少。体格检查:T:37C,BP:10.6/8.0KPa,神志清,急性重病容,中度以上脱水,心音偏低,心率90次/分,两肺听诊无异常,腹平软,全腹无压痛,肝脾未及,肠鸣音亢进。实验室检查:血常规:WBC 9.8×
1. Clinical data Female patient, 42 years old, fishermen. Due to severe spit vomiting 1 hour to live in a local hospital for rescue, the symptoms improved after transfer to the hospital. Patients eat 1 night before the onset of “fried screw meat”, the next morning daze Xie Xie, fecal incontinence, frequent vomiting, each volume, spit Tuifu rice water and water samples, no blood, no obvious abdominal pain , No chills, fever, wilting spirit after the illness, dry mouth, oliguria. Physical examination: T: 37C, BP: 10.6 / 8.0KPa, clear consciousness, acute serious illness, moderate dehydration, low heart rate, heart rate 90 beats / min, , Liver and spleen is not, bowel sounds hyperthyroidism. Laboratory tests: blood: WBC 9.8 ×