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患者王××,男,17岁。因腹痛,脓血便8～10次,里急后重一天而就诊。查体:心肺(-),脐周及左下腹明显压痛,无反跳痛,肝脾不大,肠鸣音活跃。镜检大便:脓球(+++),红血球(++)。诊断为急性细菌性痢疾。给合霉素0.5(0.25/片)4/日,TMP0.2(0.1/片),2/日,普鲁苯辛30毫克(15毫克/片)3/日口服。于下午3时许同时服上药各2片、晚8时许又服上药各2片,无何不适反应。于夜间12时许,觉全身发痒,当翻身起床时,
Patient Wang × ×, male, 17 years old. Due to abdominal pain, pus and blood will be 8 to 10 times, tenesmus and heavy day of treatment. Physical examination: cardiopulmonary (-), umbilical cord and left lower quadrant significant tenderness, no rebound pain, liver and spleen not, bowel sounds active. Microscopic examination stool: pus ball (+++), red blood cells (++). Diagnosed as acute bacillary dysentery. Tomycin 0.5 (0.25 / tablet) 4 / day, TMP 0.2 (0.1 / tablet), 2 / day, prussianin 30 mg (15 mg / tablet) 3 / day orally. At 3 o’clock in the afternoon at the same time taking the medicine 2, 8 pm and take the medicine 2, no discomfort. 12 o’clock at night, feel the whole body itch, when turning over to get up,