例1,患者男,1 1/2岁。因突然持续哭闹、频繁呕吐3小时,神志不清15分钟入院。病儿呕吐为胃内容物,入院前曾排稀便2次,无脓血。查体:T38.9℃P200次/分,R60次/分,BP7.0/5.0kPa。神志不清,面色苍白,呼吸急促,皮肤见花纹,四肢厥次。心肺未发现异常。腹胀,未见肠型及胃肠蠕动波,软,无压痛及反跳痛,未触及包块,移动性浊音(+),肠鸣音减弱。肛门指诊:指套无血染。血常规:WBC30×10~9/L,N0.91。大便常规:粘液卅,红细胞±,脓细胞+。初步诊断:(1)急性细菌性痢疾;(2)中毒性休 Example 1, male patient, 1 1/2 years old. Due to a sudden continuous crying, frequent vomiting for 3 hours, unconsciously 15 minutes admitted to hospital. Sick child vomiting for the stomach contents, before admission row of loose stool 2 times, no abscess blood. Physical examination: T38.9 ℃ P200 times / min, R60 times / min, BP7.0 / 5.0kPa. Confusion, pale, shortness of breath, see the pattern of the skin, limbs Jue times. Cardiopulmonary no abnormalities found. Abdominal distension, no intestinal and gastrointestinal motility wave, soft, no tenderness and rebound tenderness, no palpable masses, dullness of movement (+), bowel sounds weakened. Anal referral: refers to the sleeve without bloody. Blood: WBC30 × 10 ~ 9 / L, N0.91. Stool routine: mucus 卅, red blood cells ±, pus +. Preliminary diagnosis: (1) acute bacillary dysentery; (2) toxic Hugh