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1961年8月份,我们检查了5个团休养室对急性菌痢的诊疗情况,共分析病历96份(其中肠炎35份)。多数病历的诊断与治疗是符合菌痢防治方案的规定,但还存在着一些缺点。归纳起来,主要是:怕上报,入院慢,出院快,治疗乱。一、怕上报现在诊断痢疾,除病史、症状、大便观察(包括显微镜检查)外,又有方案为据,应该说不太困难。但在检查的35份肠炎病案中发现,应诊断为痢疾的就有14名。这些病案的诊断指征是明显的:大便镜检脓血球无数的有6名,高倍镜脓球计数20个以上的3名,10个以上的3名,7个以上的2名。同时,还存有急性菌痢的主要症状。在这14例中有6名初诊时诊断为痢疾,但出院最后诊断却改为肠炎。还有6名病人明明有菌痢典型症抉(大便一天5-12次,脓血便),入院记录初诊,却写:(1)腹泻,(2)肠炎,(3)痢疾。
In August 1961, we examined the diagnosis and treatment of acute bacillary dysentery in five recuperation rooms. A total of 96 medical records (including 35 enteritis) were analyzed. The majority of medical records diagnosis and treatment is consistent with the provisions of mycobacterium control programs, but there are still some shortcomings. To sum up, mainly: fear of reporting, admission slow, fast discharge, treatment chaos. First, fear of reporting the diagnosis of dysentery now, in addition to medical history, symptoms, stool observation (including microscopy), there are programs based on, it should be said not too difficult. However, in the examination of 35 cases of enteritis, it was found that 14 cases should be diagnosed with diarrhea. The diagnosis of these medical indications are obvious: stool count pus numerous count of 6, high-power pus count 20 more than 3, 10 more than 3, more than 7 2. At the same time, there are also the main symptoms of acute bacillary dysentery. Six of the 14 cases were diagnosed with dysentery at the time of first visit, but the final diagnosis of discharge was changed to enteritis. There are six patients with bacteriosis dysentery disease (stool 5-12 times a day, pus and blood), admitted to the hospital records, but wrote: (1) diarrhea, (2) enteritis, (3) dysentery.