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病例摘要:例1:女,3岁,住院号43051。因腹泻2天,发热、抽搐、昏迷18小时,于1982年8月28日急诊入院。患儿于1982年8月26日晚餐进变质食物,次日凌晨2时出现腹泻,为黄色水样便。当晚大便6～7次,27日下午4时出现阵发性惊厥达10余次,抽搐时两眼上翻,面部四肢抽动,全身皮肤紫绀,不省人事,抽搐后高热,体温39℃左右。当地给降温、止痉、抗感染等治疗,未见好转,转来我院。门诊以抽搐待查,中毒性菌痢?中毒性休克收入院。查体:体温39.6℃,呼吸50次,脉搏摸不到,血压106/0mmHg,呈浅昏迷,面色苍白,四肢湿冷,口唇紫绀,颈软,心率160次/分,律齐,未闻杂音,两肺呼吸音粗糙,腹无异征,皮肤有花纹。病理反射
Case Summary: Example 1: Female, 3 years old, hospital number 43051. Due to diarrhea 2 days, fever, convulsions, coma 18 hours, on August 28, 1982 emergency admission. Children with dinner on August 26, 1982 into the deterioration of food, diarrhea at 2 am the next day for the yellow watery stool. Stool 6 to 7 times the night, at 27 o’clock on the 27th paroxysmal convulsions for more than 10 times, convulsions, two eyes upset, face limbs twitching, systemic skin cyanosis, unconsciousness, convulsions after fever, body temperature 39 ℃. Local cooling, Zhijing, anti-infection treatment, no improvement, transferred to our hospital. Outpatient convulsions to be investigated, toxic bacillary dysentery? Toxic shock income hospital. Physical examination: body temperature 39.6 ℃, breath 50 times, pulse not touch, blood pressure 106 / 0mmHg, was shallow coma, pale, limbs cold and cold, lips cyanosis, neck soft, heart rate 160 beats / min, Breathe sound rough between the two lungs, no signs of abdominal, skin pattern. Pathological reflex