1　关于本病的诊断病儿腹泻剧烈 ,迅速引起脱水、酸中毒及休克 ,首先应考虑有霍乱可能 ,但霍乱一般无明显发热 ,属肠毒素性腹泻 ,细菌不入侵肠黏膜 ,粪便常呈米汤样、无脓血 ,而本例粪便镜检可见多数白细胞及少许红细胞 ,故可排除。病儿有不洁食物史 ,家属有同样患者 ,粪便有多 1 on the diagnosis of the disease sick children with severe diarrhea, rapid dehydration, acidosis and shock, cholera should first consider possible, but cholera generally no significant fever, is an enterotoxin-type diarrhea, bacteria do not invade the intestinal mucosa, feces are often rice soup Like, no abscess blood, and in this case stool examination showed most white blood cells and a small amount of red blood cells, it can be ruled out. Ill children have a history of unclean food, family members have the same patients, more stool