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病历摘要患儿柯×,男,4个半月,长沙市人。因腹泻两周,一天来阵发性哭闹,呕吐,伴便血一次,于1975年11月15日急诊入院。患儿于入院前两周开始腹泻,大便色黄,稀水样,每天7～8次,有时10次以上,无呕吐,时有哭闹,伴发热,曾于门诊多次诊治。大便检查:黄色稀便,镜检红细胞0～3、脓细胞0～2/低倍镜。诊断为“婴幼儿腹泻”、“细菌性痢疾”。先后给予土霉素、四环素、痢特灵,并予补液,未见好转。入院前一天出现阵发性哭闹,且呕吐频繁又来院急诊。患儿呈急性病容,腹胀,右下腹似隐约触及包块,有轻度压痛,在准备
Medical records Childhood Ke ×, male, 4 and a half months, Changsha City. Due to diarrhea two weeks, one day to paroxysmal crying, vomiting, with blood in the stool once, November 15, 1975 emergency admission. Children with diarrhea two weeks before admission, stool color yellow, dilute water samples, 7 to 8 times a day, and sometimes 10 times more, no vomiting, crying at any time, with fever, has repeatedly diagnosed in the clinic. Stool examination: yellow loose stools, microscopic examination of red blood cells 0 to 3, pus 0 to 2 / low power. Diagnosis of “infant diarrhea”, “bacillary dysentery.” Has given oxytetracycline, tetracycline, furazolidone, and to rehydration, no improvement. Paroxysmal crying occurred on the day before admission, and vomiting frequently went to hospital emergency room. Children with acute disease, abdominal distension, right lower quadrant like vaguely touched the mass, mild tenderness, in preparation