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患者男,23岁,1978年1月9日手砍伤后发烧、上肢感染,服抗生素后改青、链霉素肌注和中药,第二天体温上升(39℃)、躯干四肢满粉红色斑立疹、排黄色稀便。又用大黄芒硝。次日腹泻呈蛋花样伴有片状白膜排出。呕吐腹泻逐日增重。呕吐无色透明或黑绿色水样物。十数次/日,每次500—700ml。腹泻为淡红色、红褐色水样便、数十次/日、每次100—200ml。先后静点四环素、氯霉索、口服合霉素均无效,病情日趋恶化2月11日转我院。当时测不到血压,但便出伪膜1条。病理:生炎坏死组织形成伪膜,并混有较多细菌团。便中革兰氏阳性球菌占90％。入院后又出现咯血、尿血、便血、皮肤紫斑、Hb降至6.5g％,便内细菌重度减少。2月18日又便出4×5Cm乳白色伪膜物一条。经大量补液输血、红霉素,和用吗啡类药并灌其父大便泸过液2次等治疗,呕
Male, 23 years old, January 9, 1978 hand-chopped fever, upper extremity infection, antibiotics after the change of green, streptomycin intramuscular injection and Chinese medicine, the next day the body temperature rose (39 ℃), the trunk of the limbs pink Spot rash, row yellow loose stools. Also with rhubarb mirabilite. Diarrhea was egg-like next day accompanied by flaky white membrane discharge. Vomiting diarrhea daily gain. Vomiting colorless transparent or dark green water samples. Ten times / day, each time 500-700ml. Diarrhea is pink, reddish brown watery stool, dozens of times / day, each 100-200ml. Has tethered tetracycline, chloramphenicol, oral inomycin are ineffective, deteriorating condition February 11 to our hospital. Blood pressure was not measured at that time, but a pseudo-membrane was found. Pathology: inflammatory necrosis tissue formation of pseudomembranous, and mixed with more bacterial mass. Gram-positive cocci accounted for 90%. After admission, hemoptysis, hematuria, hematochezia, skin purpura, Hb dropped to 6.5g%, then severe bacterial reduction. February 18 and then out of 4 × 5Cm opal film a milky white. After a large number of fluid infusion, erythromycin, and morphine drugs and bowel fluid in his father twice a fluid such as treatment, vomit