急性细菌性痢疾严重腹泻常可引起急性周围的循环衰竭,但并发脑梗塞少见,现报告1例。 患者女性,79岁,因发热、腹痛、腹泻、排脓血便两天入院。体检:39.7℃。P 84次/分,BP 120/80mmHg,神志清,无血色苍白,无四肢末端皮肤紫绀及湿冷,心肺听诊无,腹软,全腹均有压痛,以左下腹为甚,四肢肌力Ⅴ级,辅检:血WBC 16.4G/L,N 85％,大便肉眼观察为脓血便,镜检示白细胞+,红细胞++,脓球++,隐血试验++,脓血便培养加药敏已送检待报,入院拟诊为急性细菌性痢疾,行环丙沙 Acute bacterial diarrhea Severe diarrhea can often cause acute peripheral circulatory failure, but rare cerebral infarction, is reported in 1 case. Female patient, 79 years old, admitted to hospital for two days due to fever, abdominal pain, diarrhea and bleeding. Physical examination: 39.7 ℃. P 84 times / min, BP 120 / 80mmHg, clear consciousness, no pale and white, no extremities of the skin cyanosis and cold, no cardiopulmonary auscultation, abdominal soft, all abdominal tenderness, left lower quadrant even more, limb muscle strength Ⅴ , Sub-examination: blood WBC 16.4G / L, N 85%, stool visual examination for pus and blood stool, microscopic examination of leukocytes +, red blood cells ++, pus ball ++, occult blood test ++, Treatment reported, admission to be diagnosed as acute bacillary dysentery, ciprofloxacin