论文部分内容阅读
1 病例报告 例1,女,34岁。在市立医院确诊为局限性肠炎。入院治疗半个月,治疗期间基本上用抗菌素疗法,症状缓解后出院。出院2个月后仍常伴有慢性腹泻,偶有腹痛,形体消瘦,面色晦暗,并伴有贫血症状。继续服用抗菌素药物治疗,只能做到短时期缓解,停药后不长时间上述症状又出现。经多次做实验室便常规观察,便的性状常是稀便,偶有粘液便,镜检有时出现白血球(+),有时未见白血球,而见少数脂肪球。数次血液常规检查Hb在90～100g/L之间,红细胞总计数和白细胞总计数基本在正常范围内。考虑患者以前治疗期间的用药过程后,建议改用甲硝唑治疗。嘱病人每日3次服药,每次0.6g,病程为15天。1个疗程后,收到良好的效果。实验室常规化验,便质为软便,镜检未见炎症细胞和脂肪球。随访5个月,肠炎症基本消失,精神面貌较好。来我化验室做过几次常规复查,血色素升至115g～120g/L之间。体重稍有增加。
1 case report 1, female, 34 years old. In the municipal hospital diagnosed as localized enteritis. Admission treatment for two weeks, basically treated with antibiotic therapy, relieve symptoms after discharge. Chronic diarrhea is often accompanied 2 months after discharge, occasional abdominal pain, body weight loss, dull complexion, accompanied by anemia. Continue to take antibiotic drug treatment, only to achieve short-term relief, not long after the withdrawal of the above symptoms appear. After many times to do the laboratory routine observation, then the traits are often loose stools, occasionally mucus, microscopic examination sometimes white blood cells (+), and sometimes no white blood cells, but see a few fat balls. Several blood routine examination Hb between 90 ~ 100g / L, the total number of red blood cells and leukocytes in the normal range of the total count. Consider the patient during the previous treatment period after the medication, it is recommended to switch to metronidazole treatment. Instruct patients to take medicine 3 times a day, each 0.6g, duration of 15 days. After a course of treatment, received good results. Laboratory routine tests, stools for the stool, microscopic examination of inflammatory cells and fat globules. Followed up for 5 months, intestinal inflammation disappeared, the mental outlook is better. To my laboratory done a few routine review, hemoglobin rose to 115g ~ 120g / L between. Weight gain slightly.