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滴虫引起小儿肠炎,在儿科临床较为少见,又因为临床症状很似细菌性痢疾,故往往被临床医生误诊为细菌性痢疾,现将1例小儿滴虫性肠炎报告如下。1 病例报告 患儿,女,5岁。近1个月来经常大便带血,大便表面附带有粘液,每日4～5次,大多成形,偶为稀便。时有腹痛,以脐周明显,有轻微的里急后重感,无明显发热,食欲减退,无恶心呕吐,无抽搐。查体:T36.8℃,P180次/分。一般状态尚可,面色正常,心肺正常。腹软,无压痛、反跳痛,无腹肌紧张,莫非氏征(-)。听诊肠鸣音亢进,余(-)。便常规回报:
Trichomoniasis causes pediatric enteritis, is relatively uncommon in pediatric clinics, but also because of clinical symptoms like bacterial dysentery, it is often misdiagnosed as clinical bacillary dysentery clinicians, is now reported in 1 case of infantile trichomonas enteritis. 1 case report children, female, 5 years old. Nearly a month to frequent blood in the stool, accompanied by mucus on the surface of the stool, 4 to 5 times a day, mostly shaped, even for loose stools. There are abdominal pain, to clear the umbilical weeks, a slight tenesmus, no significant fever, loss of appetite, no nausea and vomiting, no convulsions. Physical examination: T36.8 ℃, P180 times / min. The general state is acceptable, complexion, normal heart and lungs. Abdominal soft, no tenderness, rebound tenderness, no abdominal muscle tension, it is non-sign (-). Auscultatory bowel sounds hyperthyroidism, Yu (-). Regular return: