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中毒型细菌性痢疾(下称毒痢),是细菌性痢疾中的一种预后非常严重的病型,好发于2—7岁小儿,8岁以上小儿较少发生,成人发病多属体弱、营养欠佳或合饼有其他慢性病的人。它以高度毒血症、循环衰竭和中毒性脑炎为主要临床表现,而腹痛、浓血便、里急后重等细菌性痢疾的一般症状,可能并不突出,如抢救不及时,往往造成严重后果。 (一)诊断毒痢起病很急,症状严重,且变化迅速,当腹痛、腹泻、脓血便尚未出现时,病人体温在24～48小时内便可高达39—40℃甚至40℃以上,并反复发生抽痉、烦躁不安或神志昏迷。大便开始便秘,以后失禁;也可发
Toxic bacillary dysentery (hereinafter referred to as dysentery) is a very serious prognosis in bacillary dysentery. It occurs in infants aged 2-7 years and infants in infants older than 8 years. Infant onset is mostly infirm , Poor nutrition or co-cake with other chronic diseases. Its main clinical manifestations of high degree of sepsis, circulatory failure and toxic encephalitis, and general symptoms of bacterial dysentery such as abdominal pain, bloody stool, tenesmus may not be prominent, such as the rescue is not timely, often have serious consequences. (1) The diagnosis of poisoning dysentery is very urgent, the symptoms are serious, and the changes are rapid. When the abdominal pain, diarrhea and purulent blood have not appeared yet, the temperature of the patient can be as high as 39-40 ℃ or even above 40 ℃ in 24-48 hours Repeated spasm, irritability or unconsciousness. Stool began to constipation, after incontinence; can also be made