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我科近4年来收治急性菌痢182例,发生抽痉76例(占41.8％),对可能引起抽痉的原因进行探讨。发现抽痉者可伴有循环呼吸衰竭21人;年龄小于3岁24例;体温在12小时内迅速升至39℃似上者63例;血钠低于12ommol/L 4例;年龄大于6岁者23例。菌痢诱发抽痉可能与细菌内毒索导致循环障碍、脑水肿、急起高热、低钠血症或志贺氏菌外毒素作用有关。本组无1例死亡,提示其预后大部分较好,但个别可有严重的后遗症,需引起警惕。
In recent 4 years, our department has treated 182 cases of acute bacillary dysentery, and 76 cases of antispasmodic (41.8%) occurred. The reasons that may cause spasm were discussed. Found that spasms can be associated with respiratory failure in 21 people; less than 3 years old in 24 cases; body temperature rose rapidly in 12 hours to 39 ° C like 63 cases; serum sodium less than 12ommol / L in 4 cases; older than 6 years 23 cases. Bacillary dysentery induced spasm may be related to bacterial endotoxin lead to circulatory disorders, cerebral edema, hyperthermia, hyponatremia or Shigella exotoxin role. No one died in this group, suggesting that the prognosis of most of the better, but individual may have serious sequelae, need to be alert.