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本文就我院1975～1984年80例60岁以上的急性菌痢住院患者与同期随机抽样中青年、小儿各80例住院患者,按北京市防治菌痢座谈会提出的诊断标准进行对比分析。临床资料一、年龄、性别与季节分布本组年龄为60～86岁,其中75岁及以上占14例。男性占39％,女性占61％。全年均有发病,而以7～9月份最多,60例(75％),1～6月份18例,10～12月份2例。青中年组为14～59岁,男性占60％。小儿组为0～13岁,男性占51％,二、临床表现见表。三、实验室检查WBC>10000/mm~3者,老年组占41％,青中年组占59％,小儿组占63％。大便性状及大便常规检验三组无显著差异。大便细菌培养,老年组51例中12例阳性,全部为福氏痢疾杆菌。青小年组64例中11例阳性。其中9例福氏痢疾杆菌,2例志
This article 80 cases of hospitalized patients with acute bacillary dysentery over the age of 60 in our hospital from 1975 to 1984 with 80 cases of inpatients in the same period of random sampling young and children, according to the diagnostic criteria proposed by the Beijing Municipal Committee for the prevention and treatment of bacillary dysentery contrastive analysis. Clinical data A, age, sex and seasonal distribution The age group of 60 to 86 years, of which 75 years and over accounted for 14 cases. 39% of males and 61% of females. The incidence all year round, but in July-September up, 60 cases (75%), 18 cases in January-June and 10 cases in December. Young middle-aged group was 14 to 59 years old, male 60%. Pediatric group of 0 to 13 years, 51% of men, two, clinical manifestations. Third, the laboratory test WBC> 10000 / mm ~ 3, the elderly group accounted for 41%, young middle-aged group accounted for 59%, pediatric group accounted for 63%. Stool traits and stool routine examination of three groups no significant difference. Stool bacterial culture, elderly group of 51 patients in 12 cases were positive, all of Shigella flexneri bacteria. Eleven of 64 young patients were positive. Of which 9 cases of Shigella flexneri, 2 cases of Chi