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患者杨××,男,55岁,住院号162048。因腹泻、腹痛一天入院。患者一天前无原因出现腹泻多为稀水样便,每五分钟一次,偶有红色粘液脓血样便,伴全腹剧烈绞痛。在就诊途中突然烦躁,大汗,紫给。入院查体:T37.5℃,P120次/分,R30次/分,BP 0 mmHg。急性危重病容,口唇发给,四肢冰凉。腹膨隆,软,全腹弥漫性压痛(+),无反跳痛。肠鸣音亢进。化验:Hb16.9％,WBC16,800/mm~3,N89％,L11％,BPC160,000/mm~3。粪常规:脓血便,RBC3-4个/HP,WBC2-5个/HP,脓球稀布。粪潜血(++)。粪培养:两次未生长致病菌,一次检出摩根变形杆菌,一次检
Yang × × patients, male, 55 years old, hospital number 162048. Due to diarrhea, abdominal pain one day admission. One day before the patient had no reason for diarrhea were mostly watery stool, once every five minutes, occasionally red mucus purulent blood will be accompanied by severe abdominal cramps. Suddenly irritable in the treatment on the way, sweating, purple to. Admission examination: T37.5 ℃, P120 beats / min, R30 beats / min, BP 0 mmHg. Acute critically ill, lips, cold limbs. Abdominal bulging, soft, full abdominal diffuse tenderness (+), no rebound tenderness. Bowel sounds hyperthyroidism. Assay: Hb16.9%, WBC16,800 / mm ~ 3, N89%, L11%, BPC160,000 / mm ~ 3. Dung conventional: pus and blood stool, RBC3-4 / HP, WBC2-5 / HP, pus ball cloth. Cathartic occult blood (++). Fecal culture: two pathogens did not grow, once detected Proteus Morim a test