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例1:女,52岁,因间断粘液脓血便伴左下腹疼痛2月,加重1周就诊,门诊予以“痢特灵、阿托品”治疗,效果欠佳,于1990年9月10日入院。查体:一般情况尚可,皮肤粘膜无黄染,浅表淋巴结无肿大,心肺无特殊,腹平软,左腹部可扪及一肠管状物,质硬,活动度差,触痛,肝脾未及。作全消化道造影(钡剂显示)见降结肠粘膜皱襞紊乱,行纤维结肠镜检查并作活组织病理检查,结合病史及查体考虑诊断:溃疡性结肠炎。给予水杨酰偶氮磺胺吡啶1.0克,1日4次口服治疗2周,患者腹痛无明显缓解,解粘血便4～6次/天,试用硝苯吡啶10mg,1日
Example 1: Female, age 52, admitted to hospital on September 10, 1990 due to intermittent mucopurulent abscess with left lower quadrant pain in February and exacerbation of 1 week of treatment. Outpatient treatment with “furazolidone and atropine” was ineffective. Physical examination: the general situation is acceptable, the skin mucosa without yellow dye, superficial lymph nodes without swelling, no special cardiopulmonary, abdominal soft, palpable left intestine and an intestinal tube, hard, poor mobility, tenderness, liver Spleen not yet. For the whole digestive contrast (barium showed) see the colonic mucosal folds disorder, line colonoscopy and biopsy for pathological examination, combined with history and physical examination to consider diagnosis: ulcerative colitis. Given salicylazosulfapyridine 1.0 g, 4 times a day for 2 weeks of oral treatment, the patient had no significant improvement of abdominal pain, anti-sticky bloody stool 4 to 6 times / day, nifedipine trial 10mg, on the 1st