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患者男性,25岁。主因腹痛、腹泻、粘液便10天,发热7天,于84年7月20日入院。查体:呈轻度脱水貌。左下腹轻度压痛,肠鸣音活跃。肛门指诊指套粘有少许粘液。新鲜大便找阿米巴滋养体阴性,初诊:急性菌痢。给予PPA 1.0,TMP 0.1,强的松10mg,日服2次,连服3天无效。再作肛门指检,指套有粘液。在乙状结肠镜下,于15cm 以上处见肠粘膜明显充血、水肿,并有点状出血点,粘膜面见有0.3×0.2cm 多处溃疡
Male patient, 25 years old. Mainly because of abdominal pain, diarrhea, mucus will be 10 days, fever 7 days, on July 20, 84 admission. Physical examination: mild dehydration appearance. Left lower quadrant mild tenderness, bowel sounds active. Anal fingering finger stick with a little mucus. Fresh stool to find anemia trophozoites, newly diagnosed: acute bacillary dysentery. Given PPA 1.0, TMP 0.1, prednisone 10mg, served 2 times a day, even for 3 days is invalid. And then for the anal finger, refers to a set of mucus. In the sigmoidoscopy, see more than 15cm at the intestinal mucosa was hyperemia, edema, and a little bleeding point, the mucosal surface see 0.3 × 0.2cm multiple ulcers