谈永发(杭州肿瘤医院医师):希望通过本病例的讨论,吸取教训,共同提高,请各抒己见。胡先根(赤脚医生):病例特点是,患者年轻,起病5月余,主要表现为腹泻,大便3～4次/天,量少,大便中有时伴有鲜血及粘液,有时便后有少量鲜血。送检大便中有鲜血及粘液,红细胞+++,白细胞++,脓细胞少许,临床上应考虑为“痢疾”。痢疾分为阿米巴性与细菌 Talk about Wing Fat (Hangzhou Cancer Hospital physician): I hope that the discussion of this case, lessons learned to jointly improve, please express my opinions. Hu Xiangen (barefoot doctor): the case is characterized by the patient is young, the onset of more than 5 months, mainly for diarrhea, stool 3 to 4 times a day, the amount of stool is sometimes accompanied by blood and mucus, and sometimes after a small amount of blood . Sent in the stool with blood and mucus, red blood cells +++, white blood cells ++, pus a little, clinically should be considered as “dysentery.” Diarrhea is divided into amoeba sex and bacteria