论文部分内容阅读
一、病例林×,男,4岁。主诉发烧、腹泻三天,脓血便二天。现病史患儿于8月17日开始发烧,体温39℃,不流涕,不咳,咽不痛。当晚腹痛,继而腹泻。开始为稀便,后为粘液便。18日发展为脓血便,有里急后重,一天大便20余次,每次量少。食欲差,不吐,尿少。8月19日来院就诊。患儿于8月16日回农村姥姥家,曾吃过没洗的大枣。查体患儿面黄,急性病容,精神稍差,皮肤干燥,体温38℃,脉搏92次/分,呼吸24次/分,血压90/60毫米汞柱,心肺无异常发现,腹软稍凹,无包块肿物,肠鸣音活跃。
First, the case of Lin ×, male, 4 years old. Chief complaint fever, diarrhea three days, pus and blood two days. Current history of children with fever on August 17, body temperature 39 ℃, not runny nose, no cough, pharynx does not hurt. Night abdominal pain, then diarrhea. Beginning for loose stool, after the mucus. 18 developed pus and blood, have tenesmus, stool more than 20 times a day, each less. Poor appetite, do not spit, less urine. August 19 to the hospital. Children on August 16 return to rural grandma home, had eaten jujube did not wash. Children with facial yellow, acute disease, the spirit of a bit poor, dry skin, body temperature 38 ℃, pulse 92 beats / min, breathing 24 beats / min, blood pressure 90/60 mm Hg, no abnormal heart and lung findings, , No mass of tumor, bowel sounds active.